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Statistical release P0309.3

Mortality and causes of death in South Africa, 2014: Findings from death notification

Embargoed until: 02 December 2015 11:00

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Expected release date November 2016

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Mortality and causes of death in South Africa, 2014: Findings from death notification / Statistics South Africa Published by Statistics South Africa, Private Bag X44, Pretoria 0001

© Statistics South Africa, 2015 Users may apply or process this data, provided Statistics South Africa (Stats SA) is acknowledged as the original source of the data; that it is specified that the application and/or analysis is the result of the user's independent processing of the data; and that neither the basic data nor any reprocessed version or application thereof may be sold or offered for sale in any form whatsoever without prior permission from Stats SA.

Stats SA Library Cataloguing-in-Publication (CIP) Data Mortality and causes of death in South Africa, 2014: Findings from death notification/Statistics South Africa. Pretoria: Statistics South Africa, 2015

138 pp

A complete set of Stats SA publications is available at Stats SA Library and the following libraries: National Library of South Africa, Pretoria Division National Library of South Africa, Cape Town Division Library of Parliament, Cape Town Bloemfontein Public Library Natal Society Library, Pietermaritzburg Johannesburg Public Library Eastern Cape Library Services, King William’s Town Central Regional Library, Polokwane Central Reference Library, Nelspruit Central Reference Collection, Kimberley Central Reference Library, Mmabatho

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Preface This statistical release presents information mainly on mortality and causes of death in South Africa for deaths that occurred in 2014. It also provides information on death occurrences from 1997 to 2013 to show trends in mortality and causes of death. It is based on data acquired through the civil registration system that is maintained by the Department of Home Affairs.

PJ Lehohla Statistician-General

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Table of Contents Preface

......................................................................................................................................................... iii

List of tables

........................................................................................................................................................viii

List of figures

......................................................................................................................................................... ix

1.

Introduction ............................................................................................................................................ 1

1.1

Background .............................................................................................................................................. 1

1.2

Objectives of this statistical release ......................................................................................................... 1

1.3

Scope of this statistical release ................................................................................................................ 2

1.4

Organisation and presentation of this statistical release.......................................................................... 2

2.

Data and methods .................................................................................................................................. 3

2.1

Data source .............................................................................................................................................. 3

2.2

Data processing ....................................................................................................................................... 3

2.2.1

Classification of the causes of death........................................................................................................ 3

2.2.2

Automated generation of the underlying causes of death........................................................................ 4

2.3

Data editing .............................................................................................................................................. 4

2.4

Assessment of the quality of data ............................................................................................................ 5

2.5

Data analysis ............................................................................................................................................ 5

3.

Mortality .................................................................................................................................................. 7

3.1

Levels and trends of mortality .................................................................................................................. 7

3.2

Age differentials........................................................................................................................................ 8

3.3

Sex differentials ...................................................................................................................................... 10

3.4

Age and sex differentials ........................................................................................................................ 11

3.4.1

Distribution of deaths by age and sex .................................................................................................... 11

3.4.2

Median ages at death by sex ................................................................................................................. 12

3.4.3

Sex ratios by age.................................................................................................................................... 13

3.5

Population group differences in mortality ............................................................................................... 14

3.6

Marital status differences in mortality ..................................................................................................... 14

3.7

Differences in mortality by smoking status ............................................................................................. 15

3.8

Differences in mortality by place or institution of death occurrence....................................................... 15

3.9

Geographic variations in mortality .......................................................................................................... 16

3.9.1

Differences by province, age and sex .................................................................................................... 16

3.9.2

Differences by district municipality, age and sex ................................................................................... 17

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4.

Causes of death.................................................................................................................................... 19

4.1

Introduction............................................................................................................................................. 19

4.2

Reported causes of death ...................................................................................................................... 19

4.3

Method of ascertaining cause of death .................................................................................................. 20

4.4

Main groups of the underlying causes of death ..................................................................................... 21

4.5

Natural and non-natural causes of death ............................................................................................... 23

4.6

Major groups of causes of death as per Global Burden of Disease ...................................................... 26

4.7

Broad groups of natural causes of death ............................................................................................... 29

4.7.1

Overall pattern of the leading underlying natural causes of death ......................................................... 29

4.7.2

Leading underlying natural causes of death by sex ............................................................................... 30

4.7.3

Leading underlying natural causes of death by age .............................................................................. 33

4.7.4

Leading underlying natural causes of death for children aged below five years by age groups ........... 35

4.7.5

Leading underlying natural causes of death for the population aged 15–24 years ............................... 37

4.7.6

Leading underlying natural causes of death by province of death occurrence ...................................... 37

4.7.7

Underlying causes of death by district/metropolitan municipality of death occurrence ......................... 40

4.7.8

Underlying natural causes of death by population group ....................................................................... 41

4.8

Non-natural causes of death .................................................................................................................. 41

4.8.1

Non-natural causes of death by age and sex ........................................................................................ 42

4.8.2

Non-natural causes of death by province of death occurrence ............................................................. 45

4.8.3

Non-natural causes of death by district municipalities ........................................................................... 45

4.9

Comparison between immediate, contributing and underlying causes of death ................................... 47

5.

Summary and concluding remarks .................................................................................................... 49

6.

References ............................................................................................................................................ 51

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Appendices

........................................................................................................................................................ 53

Appendix A:

Definitions ....................................................................................................................................... 53

Appendix B:

Death notification form (BI-1663) ................................................................................................... 54

Appendix B1:

Death notification form (DHA-1663A) ............................................................................................. 56

Appendix B2:

Death notification form (DHA-1663B) ............................................................................................. 59

Appendix C:

Assessment of the quality of data .................................................................................................. 60

Appendix D:

Number of deaths by age, sex and year of death, 1997–1999 ...................................................... 68

Appendix D1:

Number of deaths by age, sex and year of death, 2000–2002 ...................................................... 69

Appendix D2:

Number of deaths by age, sex and year of death, 2003–2005 ...................................................... 70

Appendix D3:

Number of deaths by age, sex and year of death, 2006–2008 ...................................................... 71

Appendix D4:

Number of deaths by age, sex and year of death, 2009–2011 ...................................................... 72

Appendix D5:

Number of deaths by age, sex and year of death, 2012−2014 ...................................................... 73

Appendix E:

Year-to-year percentage changes in number of deaths by sex, 1997–2014 ................................. 74

Appendix F:

Age-specific death rates (ASDR) by year of death, 2010–2014 .................................................... 75

Appendix G:

Sex ratios at death by year of death, 1997–2014 .......................................................................... 76

Appendix H:

Number of deaths by province of death occurrence and province of usual residence of the deceased, 2014 .................................................................................................................... 77

Appendix H1:

Percentage distribution of deaths by province of death occurrence and province of usual residence of the deceased, 2014......................................................................................... 77

Appendix I:

Number of deaths by age, province and district municipality of death occurrence, 2014 .............. 78

Appendix I1:

Percentage distribution of deaths by age, province and district municipality of death occurrence, 2014 ............................................................................................................................ 80

Appendix J:

Number of deaths by sex, province and district municipality of death occurrence, 2014 .............. 82

Appendix K:

All underlying causes of death, 2014 ............................................................................................. 84

Appendix L:

Detailed description of the broad groups of natural causes of death which were among the ten leading causes in 2014 ............................................................................................................. 88

Appendix M:

The ten leading underlying natural causes of death by age and sex: South Africa, 2014 ............. 91

Appendix M1:

The ten leading underlying natural causes of death by age and sex: Western Cape, 2014 .......... 93

Appendix M2:

The ten leading underlying natural causes of death by age and sex: Eastern Cape, 2014........... 95

Appendix M3:

The ten leading underlying natural causes of death by age and sex: Northern Cape, 2014 ......... 97

Appendix M4:

The ten leading underlying natural causes of death by age and sex: Free State, 2014 ................ 99

Appendix M5:

The ten leading underlying natural causes of death by age and sex: KwaZulu-Natal, 2014 ....... 101

Appendix M6:

The ten leading underlying natural causes of death by age and sex: North West, 2014 ............. 103

Appendix M7:

The ten leading underlying natural causes of death by age and sex: Gauteng, 2014 ................. 105

Appendix M8:

The ten leading underlying natural causes of death by age and sex: Mpumalanga, 2014 .......... 107 Mortality and causes of death in South Africa, 2014: Findings from death notification

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Appendix M9:

The ten leading underlying natural causes of death by age and sex: Limpopo, 2014 ................. 109

Appendix N:

Number of deaths by main groups of causes of death and district municipality of death occurrence (Western Cape, Eastern Cape and Northern Cape), 2014 ......................... 111

Appendix N1:

Number of deaths by main groups of causes of death and district municipality of death occurrence (Free State, KwaZulu-Natal and North West), 2014 ................................... 112

Appendix N2:

Number of deaths by main groups of causes of death and district municipality of death occurrence (Gauteng, Mpumalanga and Limpopo), 2014 ............................................. 113

Appendix O:

Percentage distribution of deaths by main groups of causes of death and district municipality of death occurrence (Western Cape, Eastern Cape and Northern Cape), 2014 ........................ 114

Appendix O1:

Percentage distribution of deaths by main groups of causes of death and district municipality of death occurrence (Free State, KwaZulu-Natal and North West), 2014 ................................... 115

Appendix O2:

Percentage distribution of deaths by main groups of causes of death and district municipality of death occurrence (Gauteng, Mpumalanga and Limpopo), 2014 ............................................. 116

Appendix P:

The ten leading underlying natural causes of death by district municipality of death occurrence, Western Cape, 2014................................................................................... 117

Appendix P1:

The ten leading underlying natural causes of death by district municipality of death occurrence, Eastern Cape, 2014 .................................................................................................. 118

Appendix P2:

The ten leading underlying natural causes of death by district municipality of death occurrence, Northern Cape, 2014 ................................................................................................ 120

Appendix P3:

The ten leading underlying natural causes of death by district municipality of death occurrence, Free State, 2014 ....................................................................................................... 121

Appendix P4:

The ten leading underlying natural causes of death by district municipality of death occurrence, KwaZulu-Natal, 2014 ................................................................................................ 122

Appendix P5:

The ten leading underlying natural causes of death by district municipality of death occurrence, North West, 2014 ...................................................................................................... 124

Appendix P6:

The ten leading underlying natural causes of death by district municipality of death occurrence, Gauteng, 2014 .......................................................................................................... 125

Appendix P7:

The ten leading underlying natural causes of death by district municipality of death occurrence, Mpumalanga, 2014 ................................................................................................... 126

Appendix P8:

The ten leading underlying natural causes of death by district municipality of death occurrence, Limpopo, 2014 .......................................................................................................... 127

Appendix Q:

Population group differences ........................................................................................................ 128

Appendix Q1:

The ten leading underlying natural causes of death by population group, 2014.......................... 129

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List of tables Table 3.1:

Number and percentage distribution of deaths by age, 2014 ................................................................... 8

Table 3.2:

Number and percentage distribution of deaths by population group, 2014 ............................................ 14

Table 3.3:

Number and percentage distribution of deaths by marital status, 2014.................................................. 14

Table 3.4:

Number and percentage distribution of deaths by smoking status among those aged 16 years and older, 2014 ....................................................................................................................................... 15

Table 3.5:

Number and percentage distribution of deaths by place or institution of death occurrence, 2014 ......... 15

Table 3.6:

Number and percentage distribution of deaths by province of death occurrence and province of usual residence of the deceased, 2014 .................................................................................................. 17

Table 4.1:

Number and percentage distribution of death notification forms by the number of causes entered on the notification form, 2014..................................................................................................... 20

Table 4.2:

Number and percentage distribution of deaths by method used to ascertain the cause of death, 2014 ........................................................................................................................................................ 21

Table 4.3:

Number and percentage distribution of deaths by main groups of causes of death, 2014..................... 22

Table 4.4:

Number of natural and non-natural deaths by year of death, 1997–2014 .............................................. 24

Table 4.5:

The ten leading underlying natural causes of death, 2012–2014 ........................................................... 30

Table 4.6:

The ten leading underlying natural causes of death for males and females, 2014 ................................ 31

Table 4.7:

The ten leading underlying natural causes of death for broad age groups, 2014 .................................. 34

Table 4.8:

The ten leading underlying natural causes of death for infants and children aged below five years, 2014.............................................................................................................................................. 36

Table 4.9:

The ten leading underlying natural causes of death for the population aged 15–24 years, 2014 .......... 37

Table 4.10: The ten leading underlying natural causes of death in each province of death occurrence, 2014 ......... 39 Table 4.11: Distribution of non-natural causes of death by broad groups, 2014 ....................................................... 42 Table 4.12: Distribution of deaths due to other external causes of accidental injury, 2014 ....................................... 42 Table 4.13: Underlying non-natural causes of death by age group and sex, 2014 ................................................... 44 Table 4.14: Underlying non-natural causes of death by province, 2014 .................................................................. 476 Table 4.15: Distribution of the 20 most commonly reported causes of death, 2014 .................................................. 47 Table 4.16: Number and percentage of deaths selected as underlying or reported as immediate or contributing causes of death, 2014 ......................................................................................................... 48

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List of figures Figure 3.1: Number of registered deaths by year of death, 1997–2014 .................................................................... 7 Figure 3.2: Percentage distribution of deaths by age and year of death, 2010–2014 ............................................... 9 Figure 3.3: Percentage distribution of deaths by sex and year of death, 1997–2014 .............................................. 10 Figure 3.4: Percentage distribution of deaths by age and sex, 2014 ....................................................................... 11 Figure 3.5: Median ages at death by sex and year of death, 1997–2014 ................................................................ 12 Figure 3.6: Sex ratio at death by age and year of death, 2010–2014 ...................................................................... 13 Figure 4.1: Percentage distribution of deaths by selected main groups of causes of death, 2012–2014................ 23 Figure 4.2: Percentage distribution of natural and non-natural causes of death by year of death, 1997–2014 ............................................................................................................................................. 25 Figure 4.3: Percentage distribution of natural and non-natural causes of death by age, 2014 ............................... 26 Figure 4.4: Percentage of deaths due to communicable diseases (Group I), non-communicable diseases (Group II) and injuries (Group III) by year of death, 1997–2014 ............................................................ 27 Figure 4.5: Percentage distribution of deaths due to communicable diseases (Group I), noncommunicable diseases (Group II) and injuries (Group III) by sex and age group, 2014 ..................... 28 Figure 4.6: Percentage distribution of deaths for the leading causes of death by year of death and sex, 2012–2014 ............................................................................................................................................. 32

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1. Introduction 1.1 Background The statistics on mortality and causes of death collected through the civil registration system provide a snapshot of the current health problems; suggest persistent patterns of risk in specific subgroups; and show trends in specific causes of death over time (World Health Organization [WHO], 2013). As such, the statistics on mortality and causes of death are essential public health goods that provide evidence required to monitor and evaluate progress towards population health administration (United Nations [UN], 2014) and can contribute to the implementation of the National Public Health Institute of South Africa Bill introduced on 11 November 2015. One of the functions of the Bill is to use public health information in assessing the population health status and in formulating health plans, policies and priorities (Republic of South Africa, 2015). Anchoring civil registration ensures the continuity, consistency, correctness, timeliness and comprehensiveness of the civil registration and vital statistics system (WHO, 2014a). The registration of deaths in South Africa falls under the mandate of the Department of Home Affairs (DHA) and is governed by the Births and Deaths Registration Act, 1992 (Act No. 51 of 1992), which was last amended in 2010 as the Births and Deaths Registration Amendment Act (Act No. 18 of 2010) (Republic of South Africa, 1992; Republic of South Africa, 2010). The principal Act No. 51 of 1992 stipulates that death notices should be given as soon as practicable. However, to better enforce the functioning of the civil registration system, the 2014 regulations of the Act mandate the registration of all deaths within 72 hours of death occurrence (Republic of South Africa, 2014). Upon completion of death registration, a death certificate is issued to the informant based on information from the death notification form. All death notification forms are then collected from DHA by Statistics South Africa (Stats SA) fortnightly for capturing, processing, assessment and analysis of data. Information on mortality and causes of death is then disseminated in the form of statistical releases and datasets. Stats SA, in partnership with DHA, Department of Health (DoH) and other stakeholders is currently preparing a report on the strengths and weaknesses of the civil registration system based on a comprehensive assessment of civil registration and vital statistics, including causes of death undertaken in 2014. Sustained partnerships between registration and statistical production departments are essential for improvements in mortality statistics to be realised. Currently, efforts are in place for integrated coordination mechanisms in timely registration of death, complete death registration coverage, medically certified causes of death, and timely publication of information on mortality and causes of death. While the DHA envisions a death register that is complete (Republic of South Africa, 1992), the need of DoH primarily revolves around providing adequate health services to the population (Department of Health, 2014). The interest of Stats SA is to strengthen the provision of reliable information on the number of people who die and the causes of their deaths on a continuous basis, using best statistical practices.

1.2 Objectives of this statistical release This statistical release is an annual publication by Stats SA on mortality and causes of death using data collected through the civil registration system. The objectives of the publication are as follows: • To present statistics on registered deaths by selected socio-demographic and geographic characteristics for deaths that occurred in 2014; and trends in mortality over a 18-year period (1997−2014); and • To provide information on causes of death for deaths that occurred in 2014 based mainly on the underlying causes of death.

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1.3 Scope of this statistical release This statistical release covers all deaths based on death notification forms from DHA for deaths that occurred in 2014 or earlier and reached Stats SA in time for the 2014/2015 processing phase. Although the main focus is on deaths that occurred in 2014, deaths that occurred from 1997 to 2013 (updated for late registrations or delayed transfer of forms) are also provided to show trends in mortality and causes of death. The number of deaths discussed in this statistical release excludes stillbirths, which are also collected through the civil registration system but are, however, published separately in the annual Stats SA statistical release on Perinatal deaths in South Africa (P0309.4). The definitions of technical terms used in this release are provided in Appendix A (see page 53).

1.4 Organisation and presentation of this statistical release The remainder of this statistical release is organised as follows: Section two of the release is the data and methods section and provides a description of the data sources, methods used in data processing, editing and analysis. It also has a subsection discussing data quality assessments methods. The third section on mortality presents levels, trends and differentials in mortality by selected socio-demographic and geographic characteristics of the deceased. Section four of the release provides information on the underlying causes of death for all deaths that occurred and that were registered in 2014. Deaths for the years 1997 to 2013 have also been included to show patterns in mortality over the years. It also covers the analysis of natural versus non-natural causes, the global burden of disease as well as comparisons between immediate, contributing and underlying causes of death. The last section provides the summary of findings and concluding remarks.

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2. Data and methods In this section, focus is placed on the sources of data, the data processing and data editing methodologies as well as data analysis methods applied. This section also provides information on the data quality assessments undertaken.

2.1 Data source This statistical release is based on administrative records from death notification forms collected from the Department of Home Affairs (DHA). There are two death notification forms currently being used by the DHA in registering deaths: Form BI-1663 (see Appendix B on pages 54−55) and DHA-1663 (see Appendix B1 on pages 56−58). Form BI-1663 is being replaced by form DHA-1663 but continues to be used in areas where it is still in stock. The data elements in these two forms are largely comparable. However, the two forms differ mainly in the perinatal section, with the DHA-1663 form having a separate section for recording causes of death for perinatal deaths whereas BI-1663 collects causes of death for all deaths in one section irrespective of age. The completed death notification forms are obtained by Statistics South Africa (Stats SA) for data processing and analysis of statistics on mortality and causes of death. In this release, deaths that occurred in 2014 and that were registered at DHA and collected by Stats SA during the 2014/2015 data processing phase are presented, as well as trends in mortality over a 18-year period (1997−2014). A total of 453 360 deaths that occurred in 2014 were registered at the DHA and reached Stats SA in time for the 2014/2015 data processing phase. For 2014 deaths, 91,4% of the data were from the DHA-1663 form while 8,6% was from the BI-1663 form. These results indicate a decrease of 5,1 percentage points in BI-1663 forms used from 13,7% for 2013 deaths. BI-1663 forms continue to decrease annually. The Births and Deaths Registration Act (Act No. 51 of 1992) states that in the case of a death due to natural causes, a medical practitioner shall complete a prescribed death notification form and certify the cause of death. The medical practitioner is obliged to inform a police officer if he/she is of the opinion that the death may not be due to natural causes. On receipt of this information, it is the duty of the police officer to act in terms of the Inquest Act, 1959 (Act No. 58 of 1959) and investigate the circumstances of the death (Republic of South Africa, 1959). It is after the investigation that a forensic pathologist shall complete the death notification form and prescribe the cause of death. Although all deaths require that a medical practitioner certify the deaths, in instances where a death occurs in remote areas where there is no medical practitioner within reasonable distance to certify the cause of death, a chief or tribal leader completes DHA-1680 to certify the occurrence of the death and to provide a description of the circumstances that led to and caused the death. The form used is then lodged with the nearest home affairs office for registration purposes.

2.2 Data processing All completed death notification forms are collected from the DHA head office for data processing at the Stats SA Data Processing Centre. There are different stages involved in processing the death notification forms. The forms are sorted by year of death, and labels of unique identifiers are pasted on each form. The socio-demographic variables on the form are then coded, e.g. males = 1, and females = 2.

2.2.1 Classification of the causes of death In this statistical release, the causes of death were coded using the tenth revision of the International Classification of Diseases (ICD) (WHO, 1992). All member states of the United Nations (UN), including South Africa, agreed to use the ICD standard classification system. The International Classification of Diseases (ICD) is revised from time to time to incorporate changes in medical knowledge and currently, the tenth revision is under review. The ICD-10 is a standard classification system developed by the WHO to promote international comparability in the collection, processing, coding, classification and presentation of mortality statistics (WHO, 2009a). The ICD-10 provides a standardised approach to monitoring and evaluating the prevalence of health problems in a consistent manner. The classification system facilitates the storage, retrieval, analysis and interpretation of data and their comparison within population and between populations over time. The quality of the causes of death data depends heavily on the completeness and quality in which the death notification form was completed and on the accuracy of coding the causes of death. The ICD-10 provides for Mortality and causes of death in South Africa, 2014: Findings from death notification

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completing the death notification form and for coding and classification of diseases, injuries and a wide range of signs, symptoms and other abnormal findings. It also provides a framework for certifying the causes of death; recommends names and definitions for disease entities and provides regulations on the use of the classification system and other guidelines on collecting internationally standardised mortality statistics. The ICD-10 contains approximately 8 000 categories of causes of death. It provides information on assigning causes of death and coding in terms of disease, injury and a wide variety of symptoms and other abnormal findings. It is organised into chapters covering communicable diseases, other diseases that may affect the whole body, localised diseases by site, developmental diseases, injuries and external causes. ICD-10 coders at Stats SA follow a ‘what you see, is what you code’ principle when coding information on causes of death provided by certifying officials. These coders use the ICD-10 for categories of causes of death coded in the ICD-10 manual. For diseases that are not coded in the ICD-10 manuals, Stats SA has outlined specific procedures and guidelines. For example, certifying officials sometimes report the cause of death as acquired immune suppression which is not coded in the ICD-10 manual. According to Stats SA coding procedures, this term is interpreted as HIV disease and given HIV code (B20-B24). In terms of the Stats SA coding procedures and guidelines, immunosuppression is coded as immunodeficiency, not as human immunodeficiency virus (HIV) disease. Codes U51 (multidrug-resistant tuberculosis [MDR-TB]) and U52 (extensively drug-resistant tuberculosis [XDR-TB]) which are specific to South Africa are included in the tuberculosis (A15-A19) broad group of causes of death prescribed by the ICD-10 manual. The processing of the 2014 data on causes of death used four-character coding where sufficient details were provided. However, analysis on this statistical release is based on threecharacter categories for underlying causes.

2.2.2 Automated generation of the underlying causes of death Under international rules for selecting the underlying cause from the reported conditions, every death is attributed to one (and only one) underlying cause. The ICD-10 defines the underlying cause of death as the disease or injury that initiated the train of events leading directly to death or the circumstances of the accident or violence that produced the fatal injury (WHO, 2009: 1195). Stats SA uses a software program called Automated Classification of Medical Entities (ACME 2011) to automatically derive the underlying cause of death once the causes of death given on the death notification forms have been coded. This software was developed by the United States National Center for Health Statistics (NCHS) and applies the WHO rules on the selection of the underlying cause of death. An additional software, namely IRIS, which also automatically derives the underlying cause is used for comparison with results from ACME. Both ACME and IRIS derived the same underlying cause for 95,2% of the death notification forms. The results from one program were used where the other failed to derive the underlying cause. Where both programs failed to derive the underlying cause of death, experienced coders derived the underlying cause of death.

2.3 Data editing The SAS data editing program has been developed by Stats SA. The program uses mortality and causes of death data editing business rules to check for data accuracy, consistency and quality. Once data processing had been completed, the SAS program was used to identify and correct inconsistences in the data. The quality of the mortality statistics was further assessed using two electronic tools – version 2.0 of the “Analysing mortality levels and causes-of-death” (ANACoD) and version 1.0 CoDEdit – both developed by the WHO. The tools were developed to enhance the value of mortality statistics in informing health policies and programmes. Both tools automatically checked the accuracy of data in terms of consistency and plausibility by highlighting cases with causes that were unlikely to cause death, by specific ages and by sex, providing a summary of the record within the dataset and alerting about possible misuse of codes (WHO, 2014a; WHO, 2014b). The advantage of using CoDEdit was that it provided unit record analysis, unlike ANACoD, which checked for validity at an aggregate level. Records with errors were manually investigated, which involved validating the cases against the original death notification form for verification, after which corrections were made where necessary. ANACoD was used as it provides additional information not available on CoDEdit, for example, crude death rates and life expectancy at death, amongst others.

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2.4 Assessment of the quality of data The gold standard in mortality and causes of deaths data is to have all deaths registered, medically certified, coded using the International Classification of Diseases (ICD-10) and, ultimately, the data have to be timely in terms of collection, analysis and dissemination (WHO, 2013). An accurate, complete and timely civil registration system provides the foundation for the production of reliable and routine vital statistics. These statistics are essential as they permit evaluation of the current and past state of the health status of the population and this enables proper development and planning. However, the data need to be checked for quality as mortality and causes of death data can suffer from a range of deficiencies. The quality of death registration data can be affected by the extent of late registrations, timeliness of death registration; completeness of information recorded; ill-defined causes of death, and underreporting of causes – especially in the case of HIV/AIDS. Public health programmes and researchers who rely on this data need to be aware of the level of data quality for statistical reliability. They should be informed of the results of evaluations of the data in order to provide them with a good understanding of strengths and weaknesses of the data. To assess the quality of death registration, for the purpose of this release in addition to the ANACoD and CoDEdit electronic tools, the framework proposed by Mahapatra et al. (2007) was also used to assess the quality of the 2014 deaths and cause of death statistics. This section presents a summary of the results of this assessment. A detailed discussion of the assessment is provided in Appendix C. In the 2011 statistical release (Stats SA, 2014), an estimated 94% completeness of adult (15 years and older) death registration was reported for the 2007−2011 intercensal period using the 2007 Community Survey and the 2011 Census. For 2014 adult death registrations, the same estimate is maintained, and a revised estimate will be provided after the 2016 Community Survey. Data processing, data analysis and publication of the 2014 statistical release on mortality and causes of death took 11 months from the end of the 2014 year of reporting. Less than 2% of 2014 registered deaths had missing or unknown information on age of deceased, sex of deceased and province of death occurrence. The results further indicated that variables such as population group, province of birth, marital status, method used to ascertain cause of death, smoking status and education, continue to have high percentages of incomplete information ranging between 12,7% for population group and 48,5% for education. Variables with over 50% missing information included occupation, industry and pregnancy status. Of the deaths that occurred in 2014, the proportion of deaths that were registered within the 72 hours (3 days) stipulated by the Regulations legislative framework was 78,4%. The proportion of deaths assigned to the ill-defined group was 12,5% – down from 12,7% in 2013.

2.5 Data analysis The analysis is descriptive and is based on frequency distributions and cross-tabulations on mortality and causes of death. The first section on mortality presents information on selected socio-demographic variables and mortality patterns. The section also covers levels, trends and differentials in mortality (age, sex, population group, marital status, smoking status, province, and district municipalities). The second section on causes of death was computed by ranking the underlying causes of death and providing the proportions of deaths due to specific causes. The top-ranking causes determine the leading causes of death. The ranking basically indicates the frequency of causes of death among those causes eligible to be ranked, and does not reflect the causes of death in terms of their importance from a public health perspective. Ranking the underlying causes of death is useful for showing the relative burden of cause-specific mortality. Causes of death that had the same number of deaths received the same rank, and a rank was skipped for the next cause. For example, if two causes of death had the same frequency and were the top-ranked causes, they both received rank one, and the next cause received rank three. In ranking natural underlying causes of death, symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99), were excluded as the information is not sufficiently detailed to be of use for public health purposes. It is therefore essential through training programmes and other initiatives to raise awareness among certifying practitioners to seek sufficient evidence to assign cause of death to these deaths. A separate Mortality and causes of death in South Africa, 2014: Findings from death notification

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analysis on non-natural causes has been provided since from a public health perspective, it is important to report on non-natural causes of death such as violence and accidents. However, no ranking was done for non-natural causes of death. Information on causes of death is also provided, based on the global burden of disease study that disaggregates the causes of deaths into three broad groups, namely Group I (communicable diseases), Group II (non-communicable diseases) and Group III (injuries) with the symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99) deaths proportionately distributed into the communicable and non-communicable diseases categories. This release also presents tables on mortality and causes of death for district municipalities in the country in the appendices section. Information on local municipalities is not included in this release, but Stats SA can provide it to users on request. The boundaries for local municipalities, district municipalities and provinces are based on the 2011 municipal demarcations.

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3. Mortality This section reports on death occurrences for 2014 and earlier that were registered and collated through the Department of Home Affairs (DHA) and that reached Statistics South Africa (Stats SA) during the 2014/2015 processing phase. The section primarily presents the distribution of 2014 death occurrences by selected sociodemographic characteristics of the deceased such as age, sex, place or institution of death, and geographic information (province and district municipalities). Death occurrences from 1997 to 2013 are included to show trends and patterns of registered deaths.

3.1 Levels and trends of mortality The number of registered deaths processed by Stats SA for the period 1997−2014 is shown in Figure 3.1. The figure shows that the number of registered deaths increased yearly from a low of 317 727 deaths in 1997 and reached a peak of 614 014 deaths in 2006. The results further show that from 2007, a consistent downward trend was observed from 605 949 deaths to 453 360 deaths in 2014. The number of deaths processed for 2014 indicates a decrease of 4,2% from a total of 473 384 deaths that occurred in 2013. These results indicate that the level of mortality is declining in the country. However, the overall number of deaths per year is expected to increase as figures are updated with late registrations or delayed death notification forms. Updated information will be provided in the next statistical release. Figure 3.1: Number of registered deaths by year of death, 1997–2014* 700 000

600 000

Number of deaths

500 000

400 000

300 000

200 000

100 000

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

2011

2012

2013

2014

Stats SA 317 727 366 477 382 530 417 042 456 054 503 160 558 258 578 217 599 267 614 014 605 949 597 781 582 956 550 401 514 938 492 062 473 384 453 360

Year of death *Data for 1997–2013 have been updated with late registrations/delayed death notification forms processed in 2014/2015.

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3.2 Age differentials Table 3.1 shows the number and percentage distribution of deaths by age for deaths that occurred in 2014. The results show that the age group with the highest proportion of deaths was age group 60–64 years (7,4%), closely followed by age group 35–39 years, which accounted for 7,0% of all deaths. Age groups 40–44, 50–54, 55–59 and 70–74 years each represented about 6,9% of all deaths. The lowest percentages were amongst those aged 5–9 years and 10–14 years (each comprising 0,7% of all deaths). About 5,7% of all registered deaths in 2014 occurred amongst infants (age 0 years). Table 3.1: Number and percentage distribution of deaths by age, 2014 Age group

Number

Percentage

25 643

5,7

1−4

8 619

2,0

5−9

3 143

0,7

10−14

3 092

0,7

15−19

7 002

1,5

20−24

13 967

3,2

25−29

23 101

5,5

30−34

29 819

6,7

35−39

29 818

7,0

40−44

29 966

6,9

45−49

29 077

6,6

50−54

31 425

6,9

55−59

32 017

6,9

60−64

34 855

7,4

65−69

31 721

6,5

70−74

31 316

6,9

75−79

28 053

6,0

80−84

25 576

5,6

85−89

18 546

3,8

90+

15 435

3,2

1 169

0,4

453 360

100,0

0

Unspecified Total

Figure 3.2 shows the percentage distribution of deaths by age and year of death for the past five years (2010 to 2014). Absolute numbers showing the distribution of deaths by age, sex and year of death from 1997 to 2014 are provided in Appendices D (1997−1999), D.1 (2000−2002), D.2 (2003−2005), D.3 (2006−2008), D.4 (2009−2011) and D.5 (2012−2014) [see pages 68−73]. A general pattern observed in Figure 3.2 is that the age pattern of mortality was uniform over the five years. Furthermore, the proportion of deaths decreased consistently among middle age groups (from age group 25−29 years up to 35−39 years) and age group 45−49 years over the five-year period, and increased consistently for older age groups (from age group 60−64 years up to age group 85−89 years), except age group 70–74 years, which did not change between 2013 and 2014. For all the years, the lowest proportion of deaths occurred in age groups 5−9 years and 10−14 years. While the proportion of deaths was highest in age group 35−39 years between 2010 and 2012, it shifted to age group 60−64 years in 2013 and 2014.

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5,6

5,5

5,6

5,7

2011

2012

2013

2014

1,9

2,0

2,2

2,0

1-4 2,4

0,7

0,7

1,0

0,9

5-9 0,9

0,7

0,7

0,8

0,8

10-14 0,8

1,5

1,6

1,5

1,5

15-19 1,5

3,1

3,3

3,3

3,4

20-24 3,7

5,1

5,5

5,9

6,1

25-29 6,6

6,6

6,7

7,0

7,3

30-34 8,0

6,6

7,0

7,5

7,8

6,6

6,9

6,9

7,1

40-44 7,5

Age group

35-39 8,2

6,4

6,6

6,7

7,0

45-49 7,2

*(1) Excluding deaths with unspecified age. (2) Data for 2010–2013 have been updated with late registrations/delayed death notification forms processed in 2014/2015.

0 6,3

2010

0,0

2,0

4,0

6,0

8,0

10,0

12,0

Figure 3.2: Percentage distribution of deaths by age and year of death, 2010–2014*

Statistics South Africa

Percentage

7,1

7,0

6,8

6,8

55-59 6,4

7,7

7,4

7,1

6,9

60-64 6,4

7,0

6,5

6,3

6,1

65-69 5,8

6,9

6,9

6,6

6,5

70-74 5,9

6,2

6,0

5,8

5,5

75-79 5,1

5,7

5,6

5,4

5,2

80-84 4,8

4,1

3,8

3,5

3,4

85-89 3,0

3,4

3,2

3,1

3,1

90+ 2,7

Mortality and causes of death in South Africa, 2014: Findings from death notification

6,9

6,9

6,9

6,9

50-54 6,8

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3.3 Sex differentials The distribution of deaths by sex and year of death from 1997 to 2014 is shown in Figure 3.3. The figure shows that in general, while there were more male deaths than female deaths over the 18-year period (1997–2014), the gap between male and female deaths generally narrowed down over time up to 2005, after which it gradually widened again in the recent years. Two distinct patterns can be observed from the figure: i)

The first pattern shows declining proportion of male deaths between 1997 and 2005 while that of female deaths increased in the same period. The pattern shows that the percentage of male deaths was highest in 1997 (55,9%) and persistently declined to a low of 50,4% in 2005. During the same period, female deaths increased yearly from 44,1% in 1997 to a high of 49,6% in 2005. ii) The second pattern observed shows increasing proportion of male deaths from 2006 to 2014 coupled with a decline in the proportion of female deaths from 2006 to 2014. The pattern shows a reversal of the first pattern from 2006 for both males and females. The proportion of male deaths increased from 50,7% in 2006 to 52,4% in 2014, while female deaths took a downward trend from 49,3% in 2006 and reached 47,6% in 2014.

Figure 3.3: Percentage distribution of deaths by sex and year of death, 1997–2014* 60,0

Percentage

55,0

50,0

45,0

40,0

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

2011

2012

2013

2014

Male

55,9

55,0

54,2

52,8

52,2

51,4

51,1

50,7

50,4

50,7

51,0

51,2

51,5

51,5

51,8

52,3

52,4

52,4

Female

44,1

45,0

45,8

47,2

47,8

48,6

48,9

49,3

49,6

49,3

49,0

48,8

48,5

48,5

48,2

47,7

47,6

47,6

Year of death *(1) Excluding deaths with unspecified sex. *(2) Data for 1997–2013 have been updated with late registrations/delayed death notification forms processed in 2014/2015.

Appendix E (see page 74) presents the annual percentage changes in the number of deaths by sex from 1997–1998 to 2013–2014. Both males and females recorded their highest annual percentage increases in the number of deaths for 1997–1998 and their highest decreases between 2010 and 2011. It is shown that both male and female deaths increased between the years 1997–1998 and 2005–2006 with female deaths increasing at a higher rate from 1997–1998 to 2004–2005, whereas male deaths increased more between 2005 and 2006. Female deaths went on to decline at a higher rate than male deaths from 2006–2007 to 2012–2013. The annual percentage decreases in the number of deaths between 2013 and 2014 were equivalent for males and females. Age-specific Death Rates (ASDRs) for the total population for the period 2010–2014 are shown in Appendix F (see page 75) to provide an indication of the age pattern of mortality over the five-year period, accounting for the population size at each age. The ASDRs provided should be interpreted with caution as they are based on observed Mortality and causes of death in South Africa, 2014: Findings from death notification

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numbers of deaths that have not been adjusted for incomplete registration and which may vary with age. Overall, the age pattern of mortality was uniform over the five year period, characterised by rates higher for infants amongst children. Lower rates were observed for age groups 5–9 and 10–14 years. For all the years, the death rates decreased from age 0 to age 1–4 years, after which they were somewhat similar and low from age groups 5–9 to 14–19 years, and thereafter increased continuously from age group 20–24 years, reaching their highest levels at ages 80 years and older compared to younger age groups.

3.4 Age and sex differentials 3.4.1 Distribution of deaths by age and sex Figure 3.4 shows the age and sex percentage distribution for 2014 registered deaths (absolute numbers are presented in Appendix D.5 [see page 73]). The results show that the proportions of death were lowest and characterised by minimal differences from ages 1–4 years to age group 10–14 years for both males and females. On the one hand, the percentages of male deaths exceeded the percentages of female deaths from age 0 up to age group 65–69 years. On the other hand, the proportions of female deaths were higher than the proportions of male deaths for ages 70 years and above. Further, age and sex differentials show that in 2014, the highest percentage of male deaths occurred amongst those in the age group 60–64 years (8,5%), followed by age groups 55–59 and 50–54 years (7,9% and 7,8%, respectively). Female deaths peaked at age group 80–84 years (7,6%), followed by age group 70–74 years (7,4%) and then age groups 75–79 years (7,3%). As had been the case with 2013 data, in 2014, both males and females followed the same pattern for ages 50–64 years, contributing higher percentages to the total number male deaths, and female deaths peaking from ages 70 to 84 years. Figure 3.4: Percentage distribution of deaths by age and sex, 2014* 9,0 8,0 7,0

Percentage

6,0 5,0 4,0 3,0 2,0 1,0 0,0

0

1-4

5-9

10-14

15-19

20-24

25-29

30-34

35-39

40-44

45-49

50-54

55-59

60-64

65-69

70-74

75-79

80-84

85-89

90+

Male

5,7

1,9

0,8

0,7

1,7

3,4

5,3

7,0

7,2

7,5

7,2

7,8

7,9

8,5

7,4

6,5

5,2

3,9

2,6

1,7

Female

5,4

1,8

0,6

0,6

1,4

2,8

4,9

6,2

5,9

5,7

5,6

6,0

6,2

6,9

6,7

7,4

7,3

7,6

5,8

5,3

Age group *Excluding deaths with unspecified age and sex.

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3.4.2 Median ages at death by sex The median age at death refers to the age at which exactly half of the deceased are younger than this age and half are older. In essence, it specifies how early or late mortality occurs in a population. Trends in median ages at death are important in the analysis of changes in mortality patterns over time, such as an increase in the proportion of deaths occurring at older ages or a decline in the proportion of deaths occurring at younger ages. Figure 3.5 shows the median ages at death by sex and year of death for deaths that occurred between the years 1997 and 2014. The results for male and female deaths as well as total deaths show that the median ages at death persistently decreased yearly from 1997 and reached their lowest level in 2004. From 2005, the median ages increased for all the years and were highest in 2014. The median ages at death for total deaths decreased from 51,3 years in 1997 to 42,6 years in 2004, while an upward trend was observed between 2005 and 2014 from 42,8 years in 2005 to 53,9 years in 2014, reflecting improvement in mortality. Sex differentials by median ages at death show three distinct patterns. The first pattern is observed between 1997 and 2002, where males died at younger ages compared to females, with the gap narrowing over time. The second pattern was between 2003 and 2006, which is characterised by female deaths occurring at younger ages compared to male deaths, which were occurring at slightly older ages. The third pattern observed is from 2009 to 2014, where males died at younger ages than females as observed in the first pattern but with the gap widening over time. In 2014, the median age at death for females was 58,1 years, which was higher than the 51,1 years for males. Figure 3.5: Median ages at death by sex and year of death, 1997–2014* 60,0

Age at death (years)

55,0

50,0

45,0

40,0

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

2011

2012

2013

2014

Males

48,3

47,4

46,3

45,7

45,3

44,3

44,1

43,4

43,5

43,9

44,4

44,8

46,3

47,1

48,9

49,4

50,2

51,1

Females

56,5

54,4

50,5

48,4

46,7

44,1

43,0

41,7

42,1

43,1

44,2

44,9

47,7

48,9

52,4

53,8

56,0

58,1

Total

51,3

49,7

47,8

46,5

45,7

44,2

43,6

42,6

42,8

43,5

44,3

44,8

46,8

47,8

50,3

51,1

52,5

53,9

Year of death * Data for 1997–2013 have been updated with late registrations/delayed death notification forms processed in 2014/2015.

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3.4.3 Sex ratios by age Figure 3.6 presents the sex ratio at death by age and year of death for the period 2010 to 2014. The sex ratio at death is defined as the relative number of male deaths per 100 female deaths. A ratio of 100 indicates an equal number of male and female deaths, a number less than 100 is indicative of more female deaths, and a number above 100 indicates relatively more male deaths than female deaths. The results show that from 2010 to 2014 there were more male deaths (sex ratios over 100) from age 0 years up to age group 15–19 years and from age group 30–34 years to age group 65–69 years. For the age groups 20–24 years and 25–29 years, female deaths exceeded male deaths (sex ratios less than 100) over the years 2010 to 2011. This pattern reversed from 2012 to 2014, where more male deaths were observed for these age groups as compared to female deaths. This indicates improvements in female mortality in these ages. Female deaths consistently exceeded male deaths throughout the five-year period (2010 to 2014) for age groups 70 years and above. The overall sex ratios for 1997 to 2014 are shown in Appendix G (see page 76). Over the 18-year period, sex ratios at death were constantly higher for males (above 100) as compared to females. However, in 1997, the overall sex ratio at death was 127 male deaths per 100 female deaths, gradually decreasing to 102 male deaths per 100 female deaths in 2005. Between 2006 and 2014, the sex ratios increased notably from 103 male deaths per 100 female deaths in 2006 to 110 male deaths per 100 female deaths in 2014. The figure further shows that the sex ratio of deaths yielded in 2014 is the same as the sex ratio for the years 2012 and 2013. Figure 3.6: Sex ratio at death by age and year of death, 2010–2014 160 140

Males per 100 females

120 100 80 60 40 20 0

0

1-4

5-9

10-14

15-19

20-24

25-29

30-34

35-39

40-44

45-49

50-54

55-59

60-64

65-69

70-74

75-79

80-84

85-89

90+

2010

114

115

121

115

111

88

85

105

121

132

140

145

146

136

118

95

73

61

55

38

2011

113

111

116

117

116

96

93

110

128

135

140

147

143

136

119

98

71

60

54

38

2012

116

113

118

118

120

108

103

113

132

141

141

145

148

140

122

99

74

60

52

39

2013

114

115

122

121

137

119

111

121

135

142

141

143

144

138

119

99

77

58

51

38

2014

116

116

132

127

133

134

118

124

136

144

141

144

141

136

122

97

78

56

50

36

Age group * (1) Excluding deaths with unspecified sex and age. (2) Data for 2010–2013 have been updated with late registrations/delayed death notification forms processed in 2014/ 2015.

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3.5 Population group differences in mortality Table 3.2 shows the distribution of deaths by population group in 2014. Black Africans accounted for 70,5% of all deaths, followed by the white population group (8,5%) and then the coloured population group (6,8%). The Indian/Asian population group accounted for 1,4% of all registered deaths. The rank order of the proportions is consistent with the previous years. Variations in population size by population groups show that 80,2% of the South African population in 2014 was black Africans followed by coloured population group at 8,8% then whites at 8,4%. However there were more white population group deaths (8,5%) compared to coloured population group deaths (6,8%) as reflected in the table. The Table also shows that 12,7% of registered deaths in 2014 had population group classified as unknown or unspecified. The proportion of deaths with missing information improved from 15,6% in 2012 to 12,7% in 2014. Although reporting on the population group variable has improved over time, analyses on population group should be treated with caution due to the high proportion of deaths with missing information on population group. Table 3.2: Number and percentage distribution of deaths by population group, 2014 Population group Black African White Indian/Asian Coloured Other Unknown or unspecified Total

Number of deaths

Percentage of deaths

Population group size

Percentage of population group

319 587

70,5

43 375 988

80,2

38 442

8,5

4 556 186

8,4

6 241

1,4

1 343 684

2,5

31 018

6,8

4 782 788

8,8

625

0,1

0

0,0

57 447

12,7

0

0,0

453 360

100,0

54 058 647

100,0

3.6 Marital status differences in mortality The distribution of deaths by marital status in 2014 is shown in Table 3.3. Nearly half (47,7%) of the deaths that occurred in 2014 were among people who were never married, and 24,3% of the deceased were reported as married at the time of death. About 10,5% of the deceased were widowed while the divorced constituted 2,0% of all registered deaths. The pattern observed in 2014 for the marital status variable is the same as that observed in 2013. The marital status of the deceased at the time of death was unknown or unspecified in 15,5% of the deaths, and therefore needs to be treated with caution. Table 3.3: Number and percentage distribution of deaths by marital status, 2014 Marital status

Number

Percentage

Never married

216 237

47,7

Married

110 002

24,3

Widowed

47 506

10,5

Divorced

9 187

2,0

70 428

15,5

453 360

100,0

Unknown or unspecified Total

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3.7 Differences in mortality by smoking status Table 3.4 shows the distribution of 2014 registered deaths by smoking status. Smoking status of the deceased refers to smoking of tobacco in the five years preceding death among those aged 16 and older at the time of death. It is observed that approximately 18,8% of the deceased were registered as smokers while 41,2% were reported as nonsmokers. The Table also shows that 34,4% of registered deaths in 2014 had smoking status classified as unknown or unspecified. The high proportion of deaths with missing information on smoking status shows poor reporting of this information on the death notification forms and should therefore be treated with caution. However, this has declined in comparison to 2012 (38,8%) and 2013 (35,6%). Table 3.4: Number and percentage distribution of deaths by smoking status among those aged 16 years and older, 2014 Smoking status

Number

Percentage

Yes

77 176

18,8

No

169 367

41,2

22 949

5,6

Unknown or unspecified

141 324

34,4

Total

410 816

100,0

Do not know

3.8 Differences in mortality by place or institution of death occurrence Table 3.5 shows the number and percentage distribution of registered deaths by place or institution of death occurrence for 2014. The results indicate that a total of about 48% of the deaths took place in a health care facility (43,9% in hospitals; 2,3% in nursing homes and 1,8% emergency room or outpatient deaths). Deaths occurring at home constituted 23,2% of all registered deaths, while 2,2% of all registered deaths were reported as dead upon arrival at a health care facility. Caution should be exercised when interpreting the results, as 23,4% of the death notification forms had unknown or unspecified information on place or institution of death of the deceased. Table 3.5: Number and percentage distribution of deaths by place or institution of death occurrence, 2014 Place of death

Number

Percentage

Hospital

199 060

43,9

Home

105 396

23,2

Nursing home

10 290

2,3

Dead on arrival

9 780

2,2

Emergency room/Out patient

8 084

1,8

14 546

3,2

Unknown or unspecified

106 204

23,4

Total

453 360

100,0

Other

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3.9 Geographic variations in mortality This subsection provides information on the distribution of deaths by province of death occurrence, province of usual residence of the deceased, and district municipalities of death occurrence for deaths that occurred in 2014. Stats SA derived the information on geography from place names, based on the 2011 municipal boundaries. The number and percentage distribution of deaths by province of death occurrence and province of usual residence of the deceased are provided in Appendices H and H1 (see page 77), respectively. Appendices I and I1 (see pages 78−81) provide the number and percentage distribution of deaths at provincial and district municipality levels by age, whereas the sex distribution is provided in Appendix J (see pages 82−83).

3.9.1 Differences by province, age and sex The distribution of deaths by province of death occurrence and province of usual residence of the deceased in 2014 is presented in Table 3.6. The distribution of deaths by province of death occurrence, shows that the highest proportion of deaths (21,3%) occurred in Gauteng, followed by KwaZulu-Natal (17,5%) and then Eastern Cape at 14,7%. The lowest proportion of deaths occurred in Northern Cape (3,1%). The order of province of usual residence of the deceased was the same as that of death occurrence, with Gauteng accounting for the highest proportion of deaths (20,4%), followed by KwaZulu-Natal (16,9%) and Eastern Cape (14,7%). Similarly, Northern Cape (3,1%) accounted for the lowest proportion with regard to deceased registered as usual residents of the province. These percentages are reflective of the population sizes of the provinces of death occurrence or usual residence. Approximately 0,2% of the deaths occurred in a foreign country and 0,3% of the deceased were usual residents in a foreign country. While province of death occurrence was unknown or unspecified in 0,3% of the registered deaths, province of usual residence of the deceased was unknown or unspecified in 1,2% of the registered deaths. Further analysis of the province of death occurrence and province of usual residence of the deceased shows that 2014 registered deaths were predominantly characterised by deaths that occurred within the province of usual residence (refer to Appendices H and H1). Over 90% of deaths occurred in the province of usual residence, with Western Cape (95,1%) having the highest proportion and Gauteng (91,0%) having the lowest proportion. As was the case in 2013, the highest proportion of people who died outside South Africa were residing in Gauteng (30,7%). It must be noted that subsequent analyses on geographic distribution of deaths is based only on place/institution of death occurrence, not place of residence or place of birth of the deceased. However, information on place of residence and place of birth of the deceased is available on request from Stats SA.

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Table 3.6: Number and percentage distribution of deaths by province of death occurrence and province of usual residence of the deceased, 2014 Province

Province of death occurrence

Province of usual residence of deceased

Number

Percentage

Number

Percentage

Western Cape

44 020

9,7

43 842

9,7

Eastern Cape

66 553

14,7

66 800

14,7

Northern Cape

14 056

3,1

14 026

3,1

Free State

33 045

7,3

32 947

7,3

KwaZulu-Natal

79 138

17,5

76 764

16,9

North West

34 933

7,7

35 793

7,9

Gauteng

96 736

21,3

92 618

20,4

Mpumalanga

35 002

7,7

35 611

7,9

Limpopo

47 849

10,6

48 221

10,6

Foreign Unspecified Total

713

0,2

1 342

0,3

1 315

0,3

5 396

1,2

453 360

100,0

453 360

100,0

The number and percentage distribution of deaths by age, province and district municipality of death occurrence for 2014 are presented in Appendices I and I1 (see pages 78−81). It is imperative to note that the distribution of deaths does not account for potential underreporting of deaths at specific ages, which may vary by district of death occurrence. In six of the nine provinces, most deaths occurred in the age group 65 years and older, while for KwaZulu-Natal and Mpumalanga most deaths occurred in the age group 15–44 years. Northern Cape is the only province where deaths occurred more in age group 45–64 years. In terms of province of death occurrence, North West (7,3%) and Northern Cape (6,9%) had the highest proportions of infant deaths (0 years). Eastern Cape had the lowest proportion of infant deaths, followed by Western Cape (3,7% and 4,1%, respectively). Limpopo and North West had the highest proportions of children dying between the ages of 1 to 14 years (4,8% and 4,0%, respectively), while Western Cape had the lowest percentage (1,8%). Mpumalanga (34,1%) had the highest percentage of deaths for age groups 15–44 years, followed by KwaZulu-Natal (32,5%). Northern Cape had the highest proportion of deaths occurring at age groups 45–64 years (31,5%), while Western Cape had the highest proportion of deaths occurring amongst the elderly [ages 65 and older (38,5%)]. Appendix J presents the sex distribution of the deceased by province and district municipality of death occurrence. It is observed that Limpopo was the only province where female deaths outnumbered male deaths (98 male deaths per 100 female deaths). Western Cape had the highest sex ratio at death with 123 male deaths per 100 female deaths, followed by North West (117 male deaths per 100 female deaths). In the rest of the provinces, there were more male deaths than female deaths with sex ratios ranging from 105 male deaths per 100 female deaths in KwaZulu-Natal to 114 male deaths per 100 female deaths in Gauteng.

3.9.2 Differences by district municipality, age and sex The absolute number of deaths by age and district municipality of death occurrence as shown in Appendix I indicates that out of the 52 district municipalities, the top four district municipalities were metropolitan municipalities. These were the City of Johannesburg (29 645), the City of Cape Town (27 127), Ekurhuleni (23 558) and the City of Tshwane (23 221). Percentage variations in 2014 deaths by age and district municipality are presented in Appendix I1. John Taolo Gaetsewe in Northern Cape had the highest proportion of deaths occurring during infancy, accounting for 11,3% deaths in this district, followed by Dr Ruth Segomotsi in North West (9,8%) and Amajuba in KwaZulu-Natal (9,4%). The lowest proportions of deaths occurring during infancy were reported in Amathole in Eastern Cape and West Mortality and causes of death in South Africa, 2014: Findings from death notification

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Coast in Western Cape, representing 2,7% and 3,0% of the deaths respectively. Dr Ruth Segomotsi in North West (5,3%) had the highest proportion of deaths occurring among children aged 1–14 years, followed by O.R Tambo in Eastern Cape accounting for 5,1% of the deaths in the district. Deaths for the age group 15–44 years were mostly found in Ehlanzeni (36,3%) in Mpumalanga and O.R. Tambo (36,1%) in Eastern Cape. Central Karoo in Western Cape had the highest percentage of deaths (36,0%) occurring among ages 45–64 years, while Namakwa in Northern Cape had the second highest (34,2%). Among the elderly (65 years and above), Overberg in Western Cape and Namakwa in Northern Cape had the highest proportions (47,2% and 43,5% respectively). The sex distribution by district municipality of death occurrence is presented in Appendix J. The 2014 registered deaths were mostly characterised by more male deaths than female deaths. Out of the 52 districts, 44 districts had more male deaths and seven districts had more female deaths. The districts with higher male deaths relative to female deaths ranged from 101 male deaths per 100 female deaths in Sisonke in KwaZulu-Natal to as high as 135 male deaths per 100 female deaths in Namakwa – a district municipality in Northern Cape. The seven districts where female deaths exceeded male deaths were Vhembe (91 male deaths per 100 female deaths), Greater Sekhukhune (95 male deaths per 100 female deaths) and Mopani (97 male deaths per 100 female deaths) in Limpopo; Zululand (99 male deaths per 100 female deaths) in KwaZulu-Natal; Alfred Nzo (96 male deaths per 100 female deaths) and O.R Tambo (99 male deaths per 100 female deaths) in Eastern Cape; and Central Karoo (96 male deaths per 100 female deaths) in Western Cape. Male deaths also exceeded female deaths for deaths occurring outside South Africa with a sex ratio of 169 male deaths per 100 female deaths.

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4. Causes of death 4.1 Introduction This section presents information on causes of death for deaths that occurred in 2014 and that were registered at the Department of Home Affairs (DHA) using either form BI-1663 or form DHA-1663. The DHA used form BI-1663 prior to 2009 and a new death notification form (DHA-1663) was introduced in 2009. Since 2009, both the old and the new forms are used to register a death in South Africa. The old form (BI-1663) will continue to be used at various DHA offices until their stock is depleted. The Births and Deaths Registration Act (Act No. 51 of 1992) places a legal obligation on medical practitioners to state the cause of death on the death notification form. The information on causes of death provided in this statistical release is as recorded on death notification forms completed by medical practitioners. In view of the concern in South Africa around the levels of violence and deaths due to accidents, non-natural underlying causes of death are treated as a separate group. Non-natural causes of death comprise all deaths that were not attributable, or may not have been attributable to natural causes. In terms of the Inquests Act (Act No. 58 of 1959), these deaths are subject to medico-legal investigation. An autopsy must be performed to establish the cause of death, and an inquest is compulsory. The results of the inquest are then sent to the DHA, which issues the final death certificate. Underlying causes of death in this section are classified by the main groups, broad groups and Global Burden of Disease. Global Burden of Disease is a critical resource for informed policymaking, as it provides a tool to quantify and compare the effects of different diseases in a population. Deaths are further categorised by age, sex and province of death occurrence. Trend analysis covering the period 1997 to 2013 was undertaken using data that have been updated with late registrations processed during the processing of 2014 deaths, in order to establish prevailing patterns between the natural and non-natural causes of death. The last subsection provides a comparison between underlying, immediate and contributing causes of death. This analysis gives an overview of the recorded instances of multiple causes of death and utilises information on all causes of death recorded on each death notification form, as death notification forms allow for reporting one or more causes of death on each form.

4.2 Reported causes of death Both the BI-1663 and DHA-1663 death notification forms make provision for one or more causes to be recorded on the forms. These are Part 1 and Part 2 under “Medical Certificate of Cause of Death” on both death notification forms or under “Causes of Death” for perinatal deaths on the new form (DHA-1663). Part 1 is for reporting the chain of events leading directly to death on the first line and the underlying cause of death on the lowest line. Part 2 is for reporting other conditions that contributed to death, but did not cause any of the causes of death mentioned in Part 1. Table 4.1 provides information on the number of causes of death reported on each death notification form for deaths that occurred in 2014. A total of 2 880 (0,6%) forms had no information provided for the cause of death. Out of the 2 880 forms with missing cause of death information, 1 969 (68,4%) had a doctor’s tick to show that it was a natural cause of death while for 911 (31,6%) forms, the doctors stated that they were “not in a position to certify” or that the “death was under investigation”. These causes were subsequently coded to other ill-defined and unspecified causes of mortality (R99) or other conditions originating in the perinatal period (P96), depending on the age of the deceased. The majority of death notification forms (53,7%) had only one cause recorded, followed by 26,6% death notification forms that had two causes recorded and 13,4% with three causes recorded. The Table further shows that 5,6% of the death notification forms had four or more causes recorded. The pattern of recording causes on the death notification forms has generally remained the same since 1997.

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Table 4.1: Number and percentage distribution of death notification forms by the number of causes entered on the notification form, 2014 Number of death notification forms

Percentage

2 880

0,6

One cause

243 269

53,7

Two causes

120 618

26,6

Three causes

60 887

13,4

Four causes

20 055

4,4

Five causes

5 614

1,2

37

0,0

453 360

100,0

Number of the reported causes of death No cause

Six causes Total

4.3 Method of ascertaining cause of death The BI-1663 and DHA-1663 death notification forms make provision for a certifying official to indicate the method that was used to ascertain the cause of death. There are differences in the options available between the two forms: • Form BI-1663 has six options, namely autopsy, opinion of attending medical practitioner, opinion of attending medical practitioner on duty, opinion of professional nurse, interview of family member, and other (refer to Appendix B section G). There are two sections for the method of ascertaining the cause of death for form DHA-1663, depending on the age of the deceased: • For deaths occurring after one week of birth, DHA-1663 has the same six options as BI-1663 plus an additional option of “post-mortem examination” (refer to Appendix B1 section G.1). • For stillbirths and deaths occurring within one week of birth, form DHA-1663 has three options, namely autopsy, autopsy results may be available later, and autopsy not performed (refer to Appendix B1 section G.2). The resulting categories after combining comparable information in BI-1663 and DHA-1663 are provided in Table 4.2. The most common method of ascertaining the cause of death in 2014 was post-mortem examination with 24,1% deaths ascertained using this method, followed by 18,0% deaths ascertained through opinion of attending medical practitioner. About 11,5% of the deaths were ascertained through the opinion of a registered professional nurse. There were 2,2% causes of death that were ascertained by conducting an interview with a family member of the deceased to establish the cause of death.

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Table 4.2: Number and percentage distribution of deaths by method used to ascertain the cause of death, 2014 Method of ascertaining the cause of death

Number

Autopsy

Percentage

39 528

8,7

109 329

24,1

Opinion of attending medical practitioner

81 382

18,0

Opinion of attending medical practitioner on duty

11 616

2,6

Opinion of registered professional nurse

51 975

11,5

Interview of family member

9 826

2,2

Other

6 592

1,5

55

0,0

Autopsy not performed*

1 360

0,3

Unknown

3 524

0,8

Unspecified

138 173

30,5

Total

453 360

100,0

Post-mortem examination

Autopsy results may be available later*

4.4 Main groups of the underlying causes of death This subsection gives an overview of the underlying causes of death for main groups (chapters) of classification of causes of death. The ICD-10 classifies diseases and related health problems into 22 chapters, of which 19 are used in the reporting of information on underlying causes of death (see Table 4.3). The chapters excluded in this report are chapters 19, 21 and 22. These are discussed briefly below: 1. Chapter 19: Injury, poisoning and certain other consequences of external causes (S00-T98). These codes are used to classify causes of death in other causes but not in the underlying causes. 2. Chapter 21: Factors influencing health status and contact with health services (Z00-Z99). These are only used in morbidity coding. 3. Chapter 22: Codes for special purposes. These codes are used by the WHO for the provisional assignment of new diseases of uncertain aetiology. U51 and U52 were used for coding multidrug-resistant tuberculosis (MDR-TB) and extensively drug-resistant tuberculosis (XDR-TB) in this release for individual causes of death, but were both recoded to the broad group of tuberculosis (A15-A19) in the analyses. The number and percentage distribution of deaths by the 19 main groups (chapters) of the classification of causes of death is shown in Table 4.3. Infections and parasitic diseases as has generally been the case in the previous years, was the most common main group of causes of death in 2014 comprising 21,8% of all deaths. This group also includes 779 deaths due to multidrug-resistant tuberculosis (MDR-TB) and 77 deaths due to extensively drugresistant tuberculosis (XDR-TB). The reported number of deaths due to MDR-TB increased by 16,6% between 2013 and 2014, while XDR-TB increased by 1,3% for the same years. The second most common main group of causes of death was diseases of the circulatory system (17,3%), followed by symptoms and signs not elsewhere classified (12,5%), and external causes of morbidity and mortality (10,5%). Diseases of the respiratory system accounted for 10,0% deaths. The rest of the other main groups each contributed less than 10%. Neoplasms comprised 8,6% of all deaths; endocrine, nutritional and metabolic diseases contributed 6,5%; certain conditions originating in the perinatal period contributed 2,1% of all deaths, while pregnancy, childbirth and puerperium contributed 0,2% of all deaths.

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Table 4.3: Number and percentage distribution of deaths by main groups of causes of death, 2014* No.

Main groups of underlying causes of death (based on ICD-10)

Number

Percentage

1

Certain infectious and parasitic diseases (A00-B99)*

98 817

21,8

2

Neoplasms (C00-D48)

39 143

8,6

3

Diseases of the blood and immune mechanism (D50-D89)

9 594

2,1

4

Endocrine, nutritional and metabolic diseases (E00-E90)

29 642

6,5

5

Mental and behavioural disorders (F00-F99)

1 996

0,4

6

Diseases of the nervous system (G00-G99)

10 274

2,3

7

Diseases of the eye and adnexa (H00-H59)

16

0,0

8

Diseases of the ear and mastoid process (H60-H95)

54

0,0

9

Diseases of the circulatory system (I00-I99)

78 258

17,3

10

Diseases of the respiratory system (J00-J99)

45 381

10,0

11

Diseases of the digestive system (K00-K93)

11 928

2,6

12

Diseases of the skin and subcutaneous tissue (L00-L99)

793

0,2

13

Diseases of the musculoskeletal system etc. (M00-M99)

1 619

0,4

14

Diseases of the genitourinary system (N00-N99)

8 772

1,9

15

Pregnancy, childbirth and puerperium (O00-O99)

1 027

0,2

16

Certain conditions originating in the perinatal period (P00-P96)

9 363

2,1

17

Congenital malformations (Q00-Q99)

2 138

0,5

18

Symptoms and signs not elsewhere classified (R00-R99)

56 784

12,5

19

External causes of morbidity and mortality (V01-Y98)

47 761

10,5

453 360

100

Total * Including deaths due to MDR-TB and XDR-TB.

The number of deaths by selected main groups of causes of death for 2012–2014 is shown in Figure 4.1. Over the three-year period, consistent increases in the number of deaths were observed for diseases of the circulatory system, external causes of morbidity and mortality, neoplasms, and endocrine, nutritional and metabolic diseases. Consistent decreases were observed for diseases of the respiratory system, diseases of the blood and immune mechanism, diseases of the nervous system, and symptoms and signs not elsewhere classified. Diseases of the digestive system, diseases of the genitourinary system and certain conditions originating in the perinatal period remained constant. For certain infectious and parasitic diseases, the proportions were inconsistent over time, thus showing no evident pattern.

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Figure 4.1: Percentage distribution of deaths by selected main groups of causes of death, 2012–2014*

Certain infectious and parasitic diseases (A00-B99)**

2 16,4 16,7 17,3

Diseases of the circulatory system (I00-I99) 13,6 12,7 12,5

Symptoms and signs not elsewhere classified (R00-R99) 9,9 10,4 10,5

External causes of morbidity and mortality (V01-Y98)

10,8 10,3 10,0

Diseases of the respiratory system (J00-J99) 7,8 8,3 8,6

Neoplasms (C00-D48) 5,8 6,3 6,5

Endocrine, nutritional and metabolic diseases (E00-E90) Diseases of the digestive system (K00-K93)

2,6 2,6 2,6

Diseases of the nervous system (G00-G99)

2,5 2,4 2,3 2,9 2,2 2,1

Diseases of the blood and immune mechanism (D50-D89)

2,1 2,1 2,1

Certain conditions originating in the perinatal period (P00-P96)

1,7 1,9 1,9

Diseases of the genitourinary system (N00-N99)

0,0

5,0

10,0

15,0

20,0

Percentage

*(1) Data for 2012–2013 have been updated with late registrations/delayed death notification forms processed in 2014/2015. (2) Excluding main groups with less than 1% of deaths. ** Including deaths due to MDR-TB and XDR-TB.

4.5 Natural and non-natural causes of death According to the ICD-10 codebook, all causes of death from chapters 1 to 18 of ICD-10 are classified as natural causes and chapter 20 (V01-Y98) as non-natural causes. Table 4.4 shows the actual number of natural and nonnatural deaths by year of death from 1997 to 2014. Throughout all the years, the number of deaths due to natural causes was always higher than the number of deaths due to non-natural causes. Between 1997 and 2006, there was a steady increase in the number of natural deaths, after which there was a decline. The results show that there has been an inconsistent pattern in the number of deaths due to non-natural causes from 1997 to 1999, followed by a steady and consistent rise in non-natural deaths from 2000 until 2005. The number of deaths due to natural causes has been declining since 2008, whereas there is no noticeable pattern in the number of non-natural deaths from 2006 to 2014 except for the period of 2009 to 2011, where the number of non-natural deaths was decreasing.

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Table 4.4: Number of natural and non-natural deaths by year of death, 1997–2014* Number of natural deaths

Number of non-natural deaths

Total

1997

263 592

54 135

317 727

1998

311 322

55 155

366 477

1999

329 147

53 383

382 530

2000

367 223

49 819

417 042

2001

405 644

50 410

456 054

2002

451 623

51 537

503 160

2003

505 321

52 937

558 258

2004

524 775

53 442

578 217

2005

545 225

54 042

599 267

2006

560 721

53 293

614 014

2007

551 331

54 618

605 949

2008

544 189

53 592

597 781

2009

532 232

50 724

582 956

2010

501 180

49 221

550 401

2011

467 919

47 019

514 938

2012

443 406

48 656

492 062

2013

423 991

49 393

473 384

2014

405 599

47 761

453 360

Year of death

*Data for 1997–2013 have been updated with late registrations/delayed death notification forms processed in 2014/2015.

Figure 4.2 shows the percentage of deaths due to natural and non-natural causes between 1997 and 2014. The majority (over 80%) of deaths were due to natural causes throughout this period, although with declining proportions from 2010. Conversely, the proportion of deaths due to non-natural underlying causes of death has been on the increase since 2010 (from 8,9% in 2010 to 10,5% in 2014).

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Figure 4.2: Percentage distribution of natural and non-natural causes of death by year of death, 1997–2014* 100%

Percentage

80%

60%

40%

20%

0%

1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 Non-natural 17,0 15,1 14,0 11,9 11,1 10,2 9,5 9,2 9,0 8,7 9,0 9,0 8,7 8,9 9,1 9,9 10,4 10,5 Natural

83,0

84,9

86,0

88,1

88,9

89,8

90,5

90,8

91,0

91,3

91,0

91,0

91,3

91,1

90,9

90,1

89,6

89,5

Year of death *Data for 1997–2013 have been updated with late registrations/delayed death notification forms processed in 2014/2015.

Natural and non-natural causes of death by age The percentage distribution of deaths due to natural and non-natural causes classified into age groups for deaths that occurred in 2014 is provided in Figure 4.3. The general pattern observed shows that age groups 15–19 and 20–24 were the ages mostly affected by non-natural causes. Other ages with higher proportions (over 20%) of deaths due to non-natural causes were age groups 1–4 years (34,3%), 5–9 years (18,5%) and 10–14 years (28,4%). Ages least affected by non-natural deaths were infancy (age 0) and older ages (60 years and older) where less than 5% of the deaths in each of these age groups were due to non-natural causes of death.

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Figure 4.3: Percentage distribution of natural and non-natural causes of death by age, 2014* 100% 90% 80% 70%

Percentage

60% 50% 40% 30% 20% 10% 0%

0

1-4

5-9

Non-natural

3,5

34,3

18,5

10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85-89 28,4

43,2

43,9

30,4

20,0

14,8

11,5

9,5

7,7

6,0

4,5

3,4

2,9

2,6

2,5

2,6

90+ 2,3

Natural

96,5

65,7

81,5

71,6

56,8

56,1

69,6

80,0

85,2

88,5

90,5

92,3

94,0

95,5

96,6

97,1

97,4

97,5

97,4

97,7

Age group * Excluding deaths with unspecified age.

4.6 Major groups of causes of death as per Global Burden of Disease The Global Burden of Diseases is the main and most complete effort to measure epidemiological levels and trends of health within different populations. The 19 ICD-10 chapters used in the reporting of information on underlying causes of death can be further condensed into three groups of causes of death as per the Global Burden of Disease cause list: Group I: • Communicable diseases (e.g. Tuberculosis, pneumonia, diarrhoea, malaria, measles); • Maternal and perinatal causes (e.g. maternal hemorrhage, birth trauma); and • Nutritional conditions (e.g. protein-energy malnutrition) Group II: Non-communicable diseases (e.g. cancer, diabetes, heart disease and asthma) Group III: External causes of mortality (e.g. accidents, homicide and suicide) Communicable diseases are diseases caused by pathogenic microorganisms, such as bacteria, viruses, parasites or fungi and can be spread, directly or indirectly, from one person to another. These include, amongst other diseases, diarrhoea, tuberculosis and pneumonia. Non-communicable diseases are medical conditions or diseases that are non-infectious or non-transmissible among people. These last for longer periods of time and progress slowly and include, amongst others, cancer, asthma and heart diseases. External causes of mortality are the non-natural causes of death. Figure 4.4 shows the percentage distribution of deaths by group type and year of death. The pattern observed shows that in South Africa prior to 2003, there were more deaths from non-communicable diseases relative to communicable diseases, although the gap was narrowing over time. However, from 2004 until 2008, deaths due to communicable diseases exceeded non-communicable deaths. Over the years 2010 to 2014, the gap between the Mortality and causes of death in South Africa, 2014: Findings from death notification

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communicable and non-communicable diseases widened with more deaths resulting from non-communicable diseases. Overall, the pattern shows an epidemiological shift in the main causes of death and disease, away from communicable diseases towards non-communicable diseases. Deaths due to injuries took a downward trend from 16,8% in 1997 to 8,5% in 2006, and thereafter there remained more or less constant from 2007 up to 2009. Between 2010 and 2014, a consistent increase in the proportions of deaths due to injuries was noted from 8,9% in 2010 to 10,5% in 2014. Figure 4.4: Percentage of deaths due to communicable diseases (Group I), non-communicable diseases (Group II) and injuries (Group III) by year of death, 1997–2014* 60,0

Percentage of total deaths

50,0

40,0

30,0

20,0

10,0

0,0

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

2011

2012

2013

2014

Group I

29,7

33,0

35,4

38,3

40,6

43,8

45,7

47,0

48,2

47,8

47,0

47,2

45,6

44,5

41,6

39,2

38,2

36,8

Group II

53,5

52,2

50,9

50,0

48,6

46,1

45,0

44,0

43,0

43,7

44,1

43,8

45,7

46,6

49,3

50,9

51,4

52,7

Group III

16,8

14,8

13,7

11,7

10,9

10,0

9,3

9,0

8,8

8,5

8,9

9,0

8,7

8,9

9,1

9,9

10,4

10,5

Year of death * (1) Data for 1997–2013 have been updated with late registrations/delayed death notification forms processed in 2014/2015. (2) Redistributed unknown age and ill-defined diseases R00-R99 proportionately to causes in Group I and Group II.

The percentage distribution of group type by sex and age group is shown in Figure 4.5. For 2014 deaths, the proportion of deaths due to Group I causes (communicable diseases, maternal, perinatal and nutritional conditions) was high amongst children for both males and females. For both sexes, deaths due to Group I causes were low amongst the elderly (65 years and older) as compared to the other age groups. [For males, deaths due to noncommunicable diseases peaked at age groups 35–39 years and 40–44 years, while for females, deaths attributed to non-communicable diseases peaked at groups 25–29 years and 30–34 years]. The proportion of deaths due to Group II causes increased with age. It was relatively low for infants (aged 0) for both sexes and increased remarkably until age group 10–14 years and decreased thereafter up until age group 20–24 years amongst males, and 25–29 years amongst females. It rose notably at older ages for box sexes due to the increasing incidence of cancers and cardiovascular diseases. The proportion of deaths due to Group III causes, i.e. external causes of death including accidents and violence, was generally highest among the youth. This pattern was especially marked among males.

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Figure 4.5: Percentage distribution of deaths due to communicable diseases (Group I), non-communicable diseases (Group II) and injuries (Group III) by sex and age group, 2014* Males 90,0 80,0

Percentage of total deaths

70,0 60,0 50,0 40,0 30,0 20,0 10,0 0,0

0

1-4

5-9

Group I

81,3

61,0

34,8

10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85-89 37,4

22,3

20,1

35,7

48,8

54,2

53,2

47,3

39,3

30,9

25,7

20,1

17,7

16,3

15,0

17,4

18,4

90+

Group II

15,2

19,1

26,9

28,3

20,9

15,0

16,1

20,3

24,5

31,1

40,0

51,0

61,6

68,5

76,0

79,0

80,9

82,1

79,5

78,7

Group III

3,5

19,9

38,4

34,3

56,8

65,0

48,2

30,9

21,3

15,7

12,7

9,7

7,5

5,7

3,9

3,4

2,9

2,8

3,1

2,9

Age group

Females 90,0

Percentage of total deaths

80,0 70,0 60,0 50,0 40,0 30,0 20,0 10,0 0,0

0

1-4

5-9

10-14

85-89

90+

Group I

81,3

62,4

39,5

44,0

15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 46,4

59,9

66,3

66,4

61,5

54,6

44,1

34,4

26,5

60-64 65-69 70-74 75-79 80-84 20,5

16,1

15,2

14,8

15,7

16,6

18,8

Group II

15,1

20,7

31,6

34,9

28,3

24,4

24,0

27,2

32,5

39,9

50,8

60,9

69,5

76,6

81,2

82,3

82,8

82,0

81,0

79,1

Group III

3,6

16,9

28,9

21,1

25,3

15,7

9,7

6,5

6,0

5,5

5,1

4,7

4,0

2,9

2,7

2,5

2,4

2,3

2,4

2,1

Age group

*Redistributed unknown age and ill-defined diseases (R00-R99) proportionately to causes in Group I and Group II.

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4.7 Broad groups of natural causes of death This subsection presents information on the leading underlying natural causes of death. The ten leading causes were identified by ranking the causes of death by frequency among those eligible for ranking as described in Section 2. The top-ranking causes determined the leading underlying natural causes of death. The ranking of the leading causes of death in this section excludes symptoms, signs and abnormal findings, not elsewhere classified as well as all non-natural deaths (external causes of morbidity and mortality). Non-natural causes will be discussed in the next subsection.

4.7.1 Overall pattern of the leading underlying natural causes of death The ten leading underlying causes of death in South Africa in 2012−2014 are shown in Table 4.5. The years 2012 and 2013 have been included to show recent trends in natural causes of death. In essence, the Table provides changes in the ten leading underlying causes of death by absolute numbers and percentages over the three-year period. The distribution of deaths by all broad groups of causes of death ranked by frequency (including non-natural causes) for 2014 is shown in Appendix K (see pages 84−87) while the breakdown of individual causes for the broad groups that were among the ten leading causes in 2014 is provided in Appendix L (see pages 88−90). Table 4.5 shows that the ten leading natural underlying causes of death were the same for the three years, with tuberculosis, hypertensive disease and chronic lower respiratory diseases maintaining the same rank in the threeyear period. Only four of the ten leading underlying causes of death remained in the top five leading causes of death for the three-year period, with the exception of other forms of heart diseases which was ranked fourth in 2012 but moved to sixth place in 2013 and maintained the same rank in 2014. HIV disease was not in the top five in 2012, but was in the top five in 2013 and 2014. Cerebrovascular diseases and influenza and pneumonia remained in the top five leading causes but exchanged positions between 2013 and 2014. Tuberculosis was the leading cause of death during the three years, accounting for 8,4% in 2014; 8,8% in 2013; and 9,9% in 2012. In 2014, cerebrovascular diseases was the second leading underlying cause of death comprising 5,1% deaths; followed by diabetes mellitus with 5,0% deaths. Influenza and pneumonia (4,9%) occupied the fourth position while human immunodeficiency virus [HIV] disease ranked fifth with 4,8% deaths attributed to it. For the years 2012 and 2013, influenza and pneumonia and diabetes mellitus maintained their positions as the second and fifth leading cause of death respectively. Human immunodeficiency virus [HIV] disease was the third leading cause of death in 2013 and moved to fifth in 2014.

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Table 4.5: The ten leading underlying natural causes of death, 2012–2014* Causes of death (based on ICD-10) Tuberculosis (A15-A19)**

2012 Rank 1

2013

Number

%

Rank

48 506

9,9

1

2014

Number

%

Rank

41 751

8,8

1

Number

%

37 878

8,4

Cerebrovascular diseases (I60-I69)

3

24 498

5,0

4

23 089

4,9

2

23 088

5,1

Diabetes mellitus (E10-E14)

5

21 840

4,4

5

23 070

4,9

3

22 747

5,0

Influenza and pneumonia (J09-J18) Human immunodeficiency virus [HIV] disease (B20-B24)

2

26 940

5,5

2

24 250

5,1

4

22 036

4,9

6

19 173

3,9

3

23 753

5,0

5

21 938

4,8

Other forms of heart disease (I30-I52)

4

22 383

4,5

6

22 125

4,7

6

21 339

4,7

Hypertensive diseases (I10-I15) Intestinal infectious diseases (A00A09)

7

16 522

3,4

7

17 071

3,6

7

17 770

3,9

9

15 260

3,1

8

16 114

3,4

8

14 471

3,2

8

15 343

3,1

9

14 020

3,0

9

13 996

3,1

10

12 492

2,5

10

12 343

2,6

10

12 096

2,7

220 449

44,8

206 405

43,6

198 240

43,7

Other viral diseases (B25-B34) Chronic lower respiratory diseases (J40-J47) Other natural causes Non-natural causes All causes

48 656

9,9

49 393

10,4

47 761

10,5

492 062

100,0

473 384

100,0

453 360

100,0

*Data for 2012–2013 have been updated with late registrations/delayed death notification forms processed in 2014/2015. ** Including deaths due to MDR-TB and XDR-TB.

4.7.2 Leading underlying natural causes of death by sex The distribution of the ten leading underlying natural causes of death in 2014 by sex is shown in Table 4.6. Overall, nine of the ten leading causes were the same for both sexes, although with different ranks. Chronic lower respiratory diseases was among the ten leading causes of death for males, but not for females, whereas malignant neoplasms of female genital organs was among the top ten underlying causes of death for females. Malignant neoplasms of female genital organs were coming up among the ten leading underlying causes of death for females for the first time since 1997. Being the leading cause of death in South Africa overall, tuberculosis was also the leading cause of death for both sexes. Influenza and pneumonia was the second leading cause of death amongst males, and was responsible for 4,7% of male deaths while it ranked sixth amongst females and was responsible for 5,0% deaths. Similar to the previous years, human immunodeficiency virus (HIV) disease ranked higher amongst males compared to females. Human immunodeficiency virus (HIV) disease was the third leading cause of death for males, accounting for 4,7% of male deaths, but was the seventh leading cause of death among females, accounting for 5,0% of female deaths. Three of the top five leading underlying causes of death amongst males were communicable diseases, while the top five leading underlying causes of death amongst females were dominated by non-communicable diseases, with only tuberculosis as a communicable disease. The second leading cause of death amongst females was diabetes mellitus, which was responsible for 6,4% female deaths. The third leading cause amongst females was cerebrovascular diseases, comprising 6,1% female deaths. Hypertensive diseases had the highest difference in ranking between the two sexes, ranking fifth for females and tenth for males.

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Table 4.6: The ten leading underlying natural causes of death for males and females, 2014* Male

Causes of death (based on ICD-10)

Rank

Tuberculosis (A15-A19)**

1

Female

Number

%

Rank

22 545

9,5

1

Number

%

15 174

7,1

Influenza and pneumonia (J09-J18)

2

11 203

4,7

6

10 739

5,0

Human immunodeficiency virus [HIV] disease (B20-B24)

3

11 160

4,7

7

10 685

5,0

Cerebrovascular diseases (I60-I69)

4

9 908

4,2

3

13 149

6,1

Other forms of heart disease (I30-I52)

5

9 872

4,2

4

11 418

5,3

Diabetes mellitus (E10-E14)

6

8 914

3,8

2

13 819

6,4

Chronic lower respiratory diseases (J40-J47)

7

7 300

3,1







Other viral diseases (B25-B34)

8

6 913

2,9

9

7 019

3,3

Intestinal infectious diseases (A00-A09)

9

6 795

2,9

8

7 607

3,5

Hypertensive diseases (I10-I15)

10

6 670

2,8

5

11 081

5,2

Malignant neoplasms of female genital organs (C51-C58)







10

4 913

2,3

Other natural causes

99 026

41,9

98 205

45,7

Non-natural causes

36 307

15,3

11 017

5,1

236 613

100,0

214 826

100,0

All causes *Excluding deaths with unspecified sex. **Including deaths due to MDR-TB and XDR-TB. …category not in the top 10

The proportion of deaths associated with the ten leading underlying causes of death classified by sex for the period 2012–2014 is shown in Figure 4.6. Over the three-year period, only tuberculosis remained the first leading underlying cause of death for both males and females, although the proportions reduced over time. In addition, tuberculosis, influenza and pneumonia, HIV, cerebrovascular diseases and other forms of heart disease were the five main contributors of male deaths for the three-year period; however, they differed in proportions each year. For females, only tuberculosis and cerebrovascular diseases were leading causes throughout the three-year period. The main similarity between males and females is that there were year-by-year increases in the number of deaths due to hypertensive disease and diabetes mellitus and decreases in the number of deaths due to influenza and pneumonia and tuberculosis for both sexes. Accordingly, this shows an increase in non-communicable diseases and a decline in communicable diseases. With the exception of tuberculosis, which showed notable declines for both sexes, the main change in the causes of death for females was the increase in the proportion of female deaths due to diabetes mellitus (from 5,6% in 2012 to 6,2% in 2013, then to 6,4% in 2014). There was also an evident increase in the proportion of female deaths due to malignant neoplasms of genital organs (from 1,9% in 2012 to 2,3% in 2014). As previously stated, it was for the first time that this cancer type was amongst the top ten leading underlying causes of death since 1997 amongst females. The most observable decrease in the proportion of female deaths was recorded for deaths caused by influenza and pneumonia (from 5,7% in 2012 to 5,0% female deaths in 2014). For males, there were noticeable increases in the proportion of deaths due to diabetes mellitus, other forms of heart diseases, chronic lower respiratory diseases, hypertensive diseases and malignant neoplasms of the digestive system, and declines in the proportion of deaths due to tuberculosis, influenza and pneumonia and ischaemic heart disease. There was no clear pattern in the proportion of deaths due to cerebrovascular diseases, intestinal infectious diseases and HIV diseases over the three-year period for both sexes.

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Figure 4.6: Percentage distribution of deaths for the leading causes of death by year of death and sex, 2012– 2014* Males Tuberculosis (A15-A19)**

9,9 9,5

10,9

5,3 5,0 4,7

Influenza and pneumonia (J09-J18) 3,8

Human immunodeficiency virus [HIV] disease (B20-B24)

4,8 4,7

Cerebrovascular diseases (I60-I69)

4,0 4,0 4,2

Other forms of heart disease (I30-I52)

4,0 4,1 4,2 3,4 3,7 3,8

Diabetes mellitus (E10-E14)

2,9 3,0 3,1

Chronic lower respiratory diseases (J40-J47)

2,8 2,7 2,9

Other viral diseases (B25-B34)

2,8 3,1 2,9

Intestinal infectious diseases (A00-A09) Hypertensive diseases (I10-I15)

2,5 2,6 2,8

Ischaemic heart diseases (I20-I25)

2,7 2,7 2,6 2,2 2,3 2,3

Malignant neoplasms of digestive organs (C15-C26) 0,0

2,0

4,0

6,0

8,0

10,0

12,0

14,0

10,0

12,0

14,0

Percentage 2012

2013

2014

Females Tuberculosis (A15-A19)**

7,1

Influenza and pneumonia (J09-J18)

5,2 5,0 4,0

Human immunodeficiency virus [HIV] disease (B20-B24)

7,6

8,7

5,7

5,2 5,0 6,1 5,9 6,1

Cerebrovascular diseases (I60-I69) 5,2 5,3 5,3

Other forms of heart disease (I30-I52)

5,6

Diabetes mellitus (E10-E14)

6,2 6,4

2,2 2,2 2,2

Chronic lower respiratory diseases (J40-J47)

3,5 3,3 3,3

Other viral diseases (B25-B34)

3,4 3,8 3,5

Intestinal infectious diseases (A00-A09)

4,3 4,7 5,2

Hypertensive diseases (I10-I15) 2,2 2,2 2,2

Ischaemic heart diseases (I20-I25)

1,9 2,1 2,3

Malignant neoplasms of female genital organs (C51-C58) 0,0

2,0

4,0

6,0

8,0

Percentage 2012

2013

2014

*Data for 2012–2013 have been updated with late registrations/delayed death notification forms processed in 2014/2015. ** Including deaths due to MDR-TB and XDR-TB.

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P0309.3

4.7.3 Leading underlying natural causes of death by age Table 4.7 shows the ten leading underlying causes of death for broad age groups (0, 1–14, 15–44, 45–64, and 65 years and older) for 2014. This age grouping is in line with the World Health Organization’s recommendations for classifying age for international comparison (WHO, 2009). For each of the age groups, influenza and pneumonia was ranked in the top ten with differing ranks. It ranked third for infants (9,0%); second for age group 1–14 years (7,5%); fourth for age group 15–44 years (4,7%); sixth for age group 45–64 years (4,4%) and fifth for age group 65 years and older, accounting for 4,5% deaths in this age group. Tuberculosis and other forms of heart diseases were causes of death in all age groups except infants, and intestinal infectious diseases were causes of death in all age groups save age group 45–64 years. For infant deaths (age 0), respiratory and cardiovascular disorders specific to the perinatal period was the leading underlying cause of death responsible for 14,5% deaths in this age. Intestinal infectious diseases was the second leading cause of death, accounting for 12,9% deaths, followed by influenza and pneumonia, which constituted 9,0% deaths in this age group. For age group 1–14 years, intestinal infectious diseases was the leading cause of death, accounting for 12,2% deaths in this age group, followed by 7,5% deaths attributed to influenza and pneumonia. Malnutrition was the third leading cause of death (5,3%), followed by tuberculosis (4,6%). Cerebral palsy and other paralytic syndromes was among the top ten leading underlying causes of death only for age group 1–14, and responsible for 1,7% deaths in this age group. The leading underlying cause of death for age group 15–44 years was tuberculosis, constituting 14,6% deaths, followed by human immunodeficiency virus [HIV] diseases, accounting for 10,6% deaths. Other viral diseases was ranked third, accounting for 6,3% deaths, followed by influenza and pneumonia that ranked fourth with 4,7% deaths. Certain disorders involving the immune mechanism and intestinal infectious diseases ranked fifth and seventh, respectively. Certain disorders involving the immune mechanism were amongst the ten leading causes of death for this age group only. Malnutrition and other acute lower respiratory infections were amongst the ten leading causes of death for only infants and age group 1–14 years, but differed in rankings. Inflammatory diseases of the central nervous system were amongst the top ten leading causes of death only for age groups 1–14 years and 15–44 years; however, their rankings in these age groups were different. For age groups 45–64 and 65 years and older, eight of the ten leading underlying causes of death were the same with the difference being in the rankings only. Amongst these eight common underlying causes, tuberculosis had the largest difference in terms of ranks. It was the leading cause of death amongst age group 45–64 years while it ranked ninth amongst the elderly (65+). Diabetes mellitus was the only underlying cause of death that had the same ranking amongst the two age groups. Cerebrovascular diseases was the leading cause of death for age group 65 years and older, accounting for 9,6% deaths, followed by diabetes mellitus, which was responsible for 8,6% deaths. The two underlying causes which were different for the two age groups were intestinal infectious diseases and ischaemic heart diseases which were amongst the ten leading underlying causes of death for age groups 65 years and older, but not for age group 45–64, while human immunodeficiency virus [HIV] diseases and other viral disease were amongst the ten leading causes of death for age group 45–64 years, but not in the top ten for those aged 65 years and older.

Mortality and causes of death in South Africa, 2014: Findings from death notification

34

... ... ... ... ...

Diabetes mellitus (E10-E14)

Hypertensive diseases (I10-I15)

Chronic lower respiratory diseases (J40-J47)

Malignant neoplasms of digestive organs (C15-C26)

Ischaemic heart diseases (I20-I25)

...

...

...

...

...

...

All causes

25 643

905

...

Protozoal diseases (B50-B64)

...

Non-natural causes

...

Cerebrovascular diseases (I60-I69)

...

...

8 894

...

Certain disorders involving the immune mechanism (D80-D89)

...

...

...

...

...

866

1 211

1 345

2 301

Other natural causes

...

Cerebral palsy and other paralytic syndromes (G80-G83)

...

Tuberculosis (A15-A19)*

...

10

Other forms of heart disease (I30-I52)

9

Other acute lower respiratory infections (J20-J22) Haemorrhagic and haematological disorders of fetus and newborn (P50P61)

...

8

Inflammatory diseases of the central nervous system (G00-G09)

7

Malnutrition (E40-E46)

...

470

6

Disorders related to length of gestation and fetal growth (P05-P08) Fetus and newborn affected by maternal factors and by complications of pregnancy, labour and delivery (P00-P04)

...

480

5

Infections specific to the perinatal period (P35-P39)

Other viral diseases (B25-B34)

938

4

Other disorders originating in the perinatal period (P90-P96)

Human immunodeficiency virus [HIV] disease (B20-B24)

1 210

3

Influenza and pneumonia (J09-J18)

3 316

2

3 707

1

Number

Intestinal infectious diseases (A00-A09)

Rank

0

Respiratory and cardiovascular disorders specific to the perinatal period (P20-P29)

Causes of death (based on ICD-10)

100,0

3,5

34,7

...

...

...

...

...

...

...

...

...

...

...

...

...

...

1,8

1,9

3,4

3,7

4,7

4,7

5,2

9,0

12,9

14,5

%

...

...

...

...

...

...

...

...

9

8

7

6

5

4

...

10

3

...

...

...

...

2

1

...

Rank

14 854

3 548

5 127

...

...

...

...

...

...

...

...

251

268

289

341

412

686

...

212

785

...

...

...

...

1 118

1 817

...

Number

1−14

100,0

23,9

34,5

...

...

...

...

...

...

...

...

1,7

1,8

1,9

2,3

2,8

4,6

...

1,4

5,3

...

...

...

...

7,5

12,2

...

%

...

...

...

...

...

...

10

5

...

8

9

3

2

1

...

...

...

...

...

...

...

4

7

...

Rank

Table 4.7: The ten leading underlying natural causes of death for broad age groups, 2014

Statistics South Africa

15−44

100,0

22,4

29,4

...

...

...

...

...

...

1,4

3,1

...

2,3

1,5

6,3

10,6

14,6

...

...

...

...

...

...

...

4,7

2,4

...

%

...

10

8

7

2

...

3

...

...

5

...

9

4

1

...

...

...

...

...

...

...

6

...

...

Rank

45−64

127 374

8 683

55 276

...

3 957

4 330

5 013

8 377

...

6 790

...

...

5 898

...

4 205

6 427

12 860

...

...

...

...

...

...

...

5 558

...

...

Number

100,0

6,8

43,4

...

3,1

3,4

3,9

6,6

...

5,3

...

...

4,6

...

3,3

5,0

10,1

...

...

...

...

...

...

...

4,4

...

...

%

7

8

6

4

2

...

1

...

...

3

...

...

...

9

...

...

...

...

...

...

...

5

10

...

Rank

65+

150 647

4 191

62 877

6 596

4 790

6 607

11 781

12 938

...

14 399

...

...

11 852

...

...

...

4 509

...

...

...

...

...

...

...

6 732

3 375

...

Number

100,0

2,8

41,7

4,4

3,2

4,4

7,8

8,6

...

9,6

...

...

7,9

...

...

...

3,0

...

...

...

...

...

...

...

4,5

2,2

...

%

Mortality and causes of death in South Africa, 2014: Findings from death notification

133 673

30 000

39 343

...

...

...

...

...

...

1 808

4 132

...

3 073

1 987

8 480

14 106

19 506

...

...

...

...

...

...

...

6 267

3 256

...

Number

P0309.3

Statistics South Africa

35

P0309.3

4.7.4 Leading underlying natural causes of death for children aged below five years by age groups Table 4.8 shows the ten leading causes of death for neonatal deaths (babies that died within the first 28 days of life), post-neonatal deaths (29 days to 11 months), all infant deaths (aged less than one year), deaths among children aged 1–4 years, and under-5 deaths. Infant deaths are composed of both neonatal and post-neonatal deaths. Neonatal deaths mainly resulted from respiratory and cardiovascular disorders specific to the perinatal period which was the leading underlying cause of death among neonates, and responsible for 35,0% deaths. The second leading underlying cause of death for neonatal deaths was other disorders originating in the perinatal period, accounting for 12,8% of all neonatal deaths. The ten leading underlying causes of death during the neonatal period constituted 91,4% of deaths in this age group. The leading cause of death for those who died during the post-neonatal period was intestinal infectious diseases (20,7%), followed by influenza and pneumonia (15,2%). Malnutrition (5,7%) was the third leading cause of death. Taken together, these top three underlying causes of death contributed 41,6% of the total deaths that occurred during the post-neonatal period. Human immunodeficiency virus [HIV] disease was ranked eighth, accounting for 1,7% deaths. The overlapping leading underlying cause of death for those who died during the neonatal and postneonatal period was congenital malformations of the circulatory system which ranked ninth for both groups. For overall infant deaths, the leading cause of death was respiratory and cardiovascular disorders specific to the perinatal period (14,5%), followed by intestinal infectious diseases (12,9%) and influenza and pneumonia (9,0%). Even though malnutrition was the third leading underlying cause for post-neonatal deaths, it was the eighth underlying cause of death amongst infants. The three leading causes of death for those aged 1–4 years were intestinal infectious diseases (17,2%), influenza and pneumonia (9,1%) and malnutrition (8,6%) respectively. Tuberculosis (3,1%) was the fourth leading cause of death while human immunodeficiency virus [HIV] disease (2,2%) was the fifth and other viral diseases (2,0%) were the sixth. Tuberculosis and inflammatory diseases of the central nervous system were amongst the ten leading causes of death only for children aged 1–4 years. Intestinal infectious diseases was the leading cause of death for children under five years, accounting for 14,0% deaths, followed by respiratory and cardiovascular disorders specific to the perinatal period, which was responsible for 10,8% deaths. Influenza and pneumonia (9,0%) was ranked third and malnutrition (4,7%) was ranked fourth. Other disorders originating in the perinatal period ranked fifth and was responsible for 3,9% of all deaths. Intestinal infectious diseases was amongst the ten leading underlying causes of death for infant deaths as well as age group 1–4 years and children aged below five years. Malnutrition, influenza and pneumonia and other acute lower respiratory infections were common in all ages except among neonatal deaths. Digestive system disorders of fetus and newborn and other congenital malformations appeared only among neonatal deaths. Other diseases of the respiratory system featured only among post-neonatal deaths.

Mortality and causes of death in South Africa, 2014: Findings from death notification

36

... ...

... ...

...

...

...

..

...

...

...

...

...

..

Influenza and pneumonia (J09-J18)

Malnutrition (E40-E46)

Other acute lower respiratory infections (J20-J22)

Other bacterial diseases (A30-A49)

Other viral diseases (B25-B34)

Other diseases of the respiratory system (J95-J99) Human immunodeficiency virus [HIV] disease (B20B24)

Other forms of heart disease (I30-I52)

Tuberculosis (A15-A19)* Inflammatory diseases of the central nervous system (G00-G09)

10 503

126

Non-natural causes

All causes

775

Other natural causes

...

...

...

...

...

...

179

10

Intestinal infectious diseases (A00-A09)

297

7

213

460

6

9

934

5

282

1 074

4

8

1 144

1 345

2

3

3 674

Number

1

Rank

1,2

7,4

...

...

...

...

...

...

...

...

...

...

1,7

2,0

2,7

2,8

4,4

8,9

10,2

10,9

12,8

35,0

%

100,0

Neonatal (0-28 days)

Other congenital malformations (Q80-Q89) Congenital malformations of the circulatory system (Q20-Q28)

Infections specific to the perinatal period (P35-P39) Disorders related to length of gestation and fetal growth (P05-P08) Fetus and newborn affected by maternal factors and by complications of pregnancy, labour and delivery (P00-P04) Haemorrhagic and haematological disorders of fetus and newborn (P50-P61) Digestive system disorders of fetus and newborn (P75-P78)

Respiratory and cardiovascular disorders specific to the perinatal period (P20-P29) Other disorders originating in the perinatal period (P90-P96)

Causes of death (based on ICD-10)

...

...

10

8

7

6

5

4

3

2

1

9

...

...

...

...

...

...

...

...

Rank

15 140

779

5 702

...

...

225

253

349

352

459

468

866

2 300

3 137

250

...

...

...

...

...

...

...

...

Number

100,0

5,1

37,7

...

...

1,5

1,7

2,3

2,3

3,0

3,1

5,7

15,2

20,7

1,7

...

...

...

...

...

...

...

%

Post-neonatal (29 days to 11 months)

...

...

...

...

...

...

...

9

8

3

2

...

...

...

10

7

6

5

4

1

Rank

100,0

3,5

34,7

...

...

...

...

...

...

...

1,9

3,4

9,0

12,9

...

...

...

1,8

3,7

4,7

4,7

5,2

14,5

%

10

4

8

5

...

6

9

7

3

2

1

...

...

...

...

...

...

...

...

...

Rank

8 619

1 591

2 843

121

266

142

191

...

169

128

152

745

785

1 486

...

...

...

...

...

...

...

...

...

Number

1-4 years

100,0

18,5

33,0

1,4

3,1

1,6

2,2

...

2,0

1,5

1,8

8,6

9,1

17,2

...

...

...

...

...

...

...

...

...

%

...

...

...

...

...

...

10

9

4

3

1

...

...

...

...

8

6

7

5

2

Rank

34 262

2 496

12 635

...

...

...

...

...

...

587

632

1 611

3 086

4 802

...

...

...

...

938

1 212

1 211

1 345

3 707

Number

Under 5 years %

100,0

7,3

36,9

...

...

...

...

...

...

1,7

1,8

4,7

9,0

14,0

...

...

...

...

2,7

3,5

3,5

3,9

10,8

P0309.3

Mortality and causes of death in South Africa, 2014: Findings from death notification

25 643

905

8 894

...

...

...

...

...

...

...

480

866

2 301

3 316

...

...

...

470

938

1 210

1 211

1 345

3 707

Number

Less than 1 year

Table 4.8: The ten leading underlying natural causes of death for infants and children aged below five years, 2014

Statistics South Africa

Statistics South Africa

P0309.3

37

4.7.5 Leading underlying natural causes of death for the population aged 15–24 years Table 4.9 shows the ten leading causes of death for age group 15–24 years. The World Health Organization in the ICD-10 recommends that age group 15–24 years be included in the analysis for international comparison (WHO, 1992). Tuberculosis was the leading cause of death, accounting for 9,2% of deaths in this age group, followed by human immunodeficiency virus [HIV] disease (5,8%) and then other viral diseases (3,4%). Influenza and pneumonia, intestinal infectious diseases and other forms of heart disease were the fourth, fifth and sixth leading causes of death, respectively. Episodic and paroxysmal disorders was ranked ninth, and was responsible for 1,3% deaths in this age group. Table 4.9: The ten leading underlying natural causes of death for the population aged 15–24 years, 2014 15–24

Causes of death (based on ICD-10)

Rank

Number

Percentage

Tuberculosis (A15-A19)*

1

1 920

9,2

Human immunodeficiency virus [HIV] disease (B20-B24)

2

1 220

5,8

Other viral diseases (B25-B34)

3

720

3,4

Influenza and pneumonia (J09-J18)

4

709

3,4

Intestinal infectious diseases (A00-A09)

5

421

2,0

Other forms of heart disease (I30-I52)

6

410

2,0

Certain disorders involving the immune mechanism (D80-D89)

7

354

1,7

Inflammatory diseases of the central nervous system (G00-G09)

8

335

1,6

Episodic and paroxysmal disorders (G40-G47)

9

280

1,3

Protozoal diseases (B50-B64)

10

183

0,9

Other natural causes

5 268

25,1

Non-natural causes

9 149

43,6

20 969

100,0

All causes *Including deaths due to MDR-TB and XDR-TB.

4.7.6 Leading underlying natural causes of death by province of death occurrence The top ten leading underlying natural causes of death by province of death occurrence are shown in Table 4.10. Deaths that occurred outside South Africa and those where province of death occurrence was not specified in the death notification form are not included in the table. Tuberculosis was the leading cause of death in six of the nine provinces. The exceptions were Western Cape, Northern Cape and Limpopo. Diabetes mellitus was the leading cause of death (accounting for 6,8% deaths) in Western Cape; in Northern Cape it was human immunodeficiency virus [HIV] disease (accounting for 8,5% deaths), while influenza and pneumonia was the leading cause of death in Limpopo (accounting for 8,2% deaths). The highest proportion of deaths due to tuberculosis was recorded in KwaZulu-Natal with 11,2% deaths in the province, followed by Mpumalanga with 9,8% deaths. Western Cape (5,6%) had the lowest proportion of deaths due to tuberculosis. For Northern Cape and Limpopo, the second leading underlying cause of death was tuberculosis, accounting for 7,4% deaths in each province. Human immunodeficiency virus [HIV] disease was the second leading underlying cause of death in Western Cape (5,8%), Eastern Cape (5,8%) and Mpumalanga (6,0%), while it was the third leading underlying cause of death in KwaZulu-Natal (6,2%). Malignant neoplasms of respiratory and intrathoracic organs was in the top ten leading underlying causes of death for only Western Cape, certain disorders involving the immune mechanism for only Mpumalanga, while renal failure was in the top ten leading causes for only Limpopo. There were six underlying causes of death that were common for all nine provinces. These were diabetes mellitus, human immunodeficiency virus [HIV] disease, cerebrovascular diseases, tuberculosis, hypertensive disease, and other forms of heart disease. However, the ranks of these causes differed widely across the provinces. For example, while human immunodeficiency virus [HIV] disease was the leading cause of death in Mortality and causes of death in South Africa, 2014: Findings from death notification

Statistics South Africa

38

P0309.3

Northern Cape (contributing 8,5% of all deaths in this province), it was the second leading cause in Western Cape (contributing 5,8% of all deaths in the province) and the ninth leading cause of death in Limpopo (contributing 2,9% of all deaths in the province). Western Cape was also the only province where influenza and pneumonia was not in the ten leading causes of death. Ischaemic heart diseases featured in four provinces, namely Western Cape, Northern Cape, KwaZuluNatal and Gauteng. Malignant neoplasms of digestive organs were in the top ten only in two provinces (Western Cape and Eastern Cape), while intestinal infectious diseases were not among the leading causes of death only in Western Cape, Eastern Cape and Gauteng. According to the Global Burden of Disease, six of the nine provinces had five communicable diseases among the ten underlying causes of death in each province. For Mpumalanga and North West, six of the ten leading causes of death were communicable diseases, while for Western Cape; seven of the ten underlying causes of death were non-communicable diseases. Detailed information on the distribution of the ten leading underlying causes by provinces, sex and age is provided in Appendices M to M9 (see pages 91−110).

Mortality and causes of death in South Africa, 2014: Findings from death notification

39





44 020

100,0

13,7







6 031















36,3





3,1



1 361

10

3,8

4,4

15 974

1 673

9

1 930

8

4,5

4,6

5,6

5,6

5,7

5,8

6,8

%







9

8

4

7



10

6



1

3

2

5

Rank

66 553

7 243

29 897







1 699

2 057

3 043

2 353



1 598

2 569



5 985

3 281

3 857

2 971

No.

Eastern Cape

100,0

10,9

44,9







2,6

3,1

4,6

3,5



2,4

3,9



9,0

4,9

5,8

4,5

%





10



5

9

4





6

8

2

3

1

7

Rank

14 056

1 562

5 669





422



630

453

698





595

490

1 046

721

1 188

582

No.

Northern Cape

100,0

11,1

40,3





3,0



4,5

3,2

5,0





4,2

3,5

7,4

5,1

8,5

4,1

%





8

9

2

4

6





10



1

3

7

5

Rank

*Excluding deaths that occurred outside South Africa and deaths with unspecified province of death.

All causes

Hypertensive diseases (I10-I15) Other forms of heart disease (I30I52) Influenza and pneumonia (J09J18) Other viral diseases (B25B34) Intestinal infectious diseases (A00A09) Certain disorders involving the immune mechanism (D80D89) Renal failure (N17N19) Other natural causes Non-natural causes

2 447

1 982

5

2 473

7

4

Ischaemic heart diseases (I20-I25)

2 531

2 045

3

Tuberculosis (A15A19)**

2 567

3 006

No.

Western Cape

6

2

Cerebrovascular diseases (I60-I69)

Chronic lower respiratory diseases (J40-J47) Malignant neoplasms of digestive organs (C15-C26) Malignant neoplasms of respiratory and intrathoracic organs (C30-C39)

1

Human immunodeficiency virus [HIV] disease (B20-B24)

Rank

Diabetes mellitus (E10-E14)

Causes of death (based on ICD-10)

100,0

9,6

42,2





3,8

3,5

6,8

5,0

4,3





2,3



8,4

5,3

4,1

4,6

%





8

6

7

5

9







10

1

2

3

4

Rank

79 138

8 347

29 997





2 815

3 101

2 914

3 812

2 805







1 749

8 863

4 940

4 927

4 868

No.

KwaZulu-Natal

100,0

10,5

37,9





3,6

3,9

3,7

4,8

3,5







2,2

11,2

6,2

6,2

6,2

%





7

9

3

2

4





10



1

5

6

8

Rank

100,0

8,2

42,7





4,2

3,5

5,6

6,0

5,4





2,4



8,9

4,8

4,4

3,9

%







9

2

3

6





10

8

1

4

7

5

Rank

96 736

10 425

47 250







2 488

5 358

5 323

3 269





2 266

2 753

6 517

4 073

2 980

4 034

No.

Gauteng

… Category not in top ten.

34 933

2 872

14 931





1 466

1 227

1 950

2 098

1 890





824



3 112

1 669

1 527

1 367

No.

North West

100,0

10,8

48,8







2,6

5,5

5,5

3,4





2,3

2,8

6,7

4,2

3,1

4,2

%



10

8

7

3

9

6









1

4

2

5

Rank

35 002

3 708

13 311



851

1 531

1 547

1 958

1 508

1 563









3 445

1 822

2 098

1 660

No.

Mpumalanga

100,0

10,6

38,0



2,4

4,4

4,4

5,6

4,3

4,5









9,8

5,2

6,0

4,7

%

10



3

8

1

7

6









2

5

9

4

Rank

47 849

3 952

20 319

1 085



2 764

1 936

3 911

1 982

2 024









3 545

2 237

1 407

2 684

No.

Limpopo

P0309.3

Mortality and causes of death in South Africa, 2014: Findings from death notification

**Including deaths due to MDR-TB and XDR-TB.

33 045

3 165

13 950





1 249

1 169

2 262

1 653

1 423





775



2 785

1 749

1 349

1 516

No.

Free State

Table 4.10: The ten leading underlying natural causes of death in each province of death occurrence, 2014*

Statistics South Africa

100,0

8,3

42,5

2,3



5,8

4,0

8,2

4,1

4,2









7,4

4,7

2,9

5,6

%

Statistics South Africa

40

P0309.3

4.7.7 Underlying causes of death by district/metropolitan municipality of death occurrence Main group The number and percentage distribution of deaths by main groups of underlying causes of death and district/metropolitan municipalities for 2014 are provided in Appendices N to N2 and Appendices O to O2 respectively. The main groups have been re-grouped into 11 groups with the main groups mental and behavioural disorders, diseases of the eye and adnexa, diseases of the ear and mastoid process, disease of the skin and subcutaneous tissue, disease of musculoskeletal system, diseases of the genitourinary system, congenital malformations, symptoms and signs not elsewhere classified and pregnancy, childbirth and puerperium grouped into other natural causes to facilitate analysis at this level of geography. Appendices N to N.2 (see pages 111−113) provide the number of deaths by main groups for each district/metropolitan municipality of death occurrence, while Appendices O to O.2 (see pages 114−116) show their percentage distribution. Of the 52 districts, certain infectious and parasitic diseases was the major underlying main group in 39 of the 52 districts, while diseases of the circulatory system was prominent for the remaining 13 districts. Diseases of the circulatory system were the leading underlying main group of causes of death for all the districts in the Western Cape, three districts in Gauteng (City of Tshwane, Sedibeng and West Rand), two districts in Free State (Fezile Dabi and Xhariep) and one district in KwaZulu-Natal (Amajuba). KwaZulu-Natal (27,2%) had the highest proportion of deaths due to certain infectious and parasitic diseases and Western Cape (15,7%) had the lowest. Deaths due to certain infectious and parasitic diseases in KwaZulu-Natal were more than a quarter (25%) in eight of the eleven districts, with uMkhanyakude (34,3%) having the highest proportion of deaths due to this cause. Overberg (10,0%) in Western Cape had the lowest proportion of deaths caused by certain infectious and parasitic diseases. All the districts in North West and Mpumalanga had certain infectious and parasitic diseases as the most common main group of cause of death. For districts where certain infectious and parasitic diseases appeared as the most common underlying main group of causes, diseases of the circulatory system was the second most common underlying main group of causes and vice versa. The exceptions were City of Cape Town, Eden, and Overberg all in the Western Cape; Namakwa in the Northern Cape and Greater Sekhukhune in Limpopo. For City of Cape Town, Eden, Overberg and Namakwa, neoplasms were the second common main group of diseases, while diseases of the respiratory system and diseases of the circulatory system were the second most common groups of diseases. Broad groups Appendices P to P8 (see pages 117−127) present the ranking of the ten leading natural causes of death by district/metropolitan municipality of death occurrence. Tuberculosis was the leading underlying cause of death in 40 of the 52 district/metropolitan municipalities in South Africa. It was the leading cause of death for all districts in Eastern Cape, KwaZulu-Natal and Mpumalanga provinces. For Western Cape, tuberculosis was the leading cause of death for only Central Karoo and West Coast, whereas for Northern Cape it was the leading cause of death for Pixley ka Seme and Siyanda district municipalities. In Limpopo, tuberculosis was the leading underlying cause of death for three districts, namely Mopani, Vhembe and Waterberg. With regard to Free State, North West and Gauteng, tuberculosis was the leading cause in all the districts of the respective provinces except Lejweleputswa in Free State, Ngaka Modiri Molema in North West and West Rand in Gauteng. For the other districts where tuberculosis was not the leading underlying cause of death, HIV disease was the leading underlying cause of death in three districts, namely Cape Winelands in Western Cape, and Francis Baard and John Taolo Gaetsewe, both in Northern Cape. Influenza and pneumonia was the leading underlying cause of death in four districts, namely Lejweleputswa in Free State, West Rand in Gauteng, and Capricorn and Greater Sekhukhune, both in Limpopo. Diabetes mellitus was the leading underlying cause of death for Nelson Mandela Bay in Eastern Cape and the City of Cape Town in Western Cape. Ischaemic heart diseases and chronic lower respiratory diseases were jointly the leading underlying causes of death, accounting for 9,4% deaths each. Cerebrovascular diseases was the leading underlying cause of death for Eden (Western Cape). Ischaemic heart diseases was the leading underlying cause of death in Overberg in Cape Town and in Namakwa in Northern Mortality and causes of death in South Africa, 2014: Findings from death notification

Statistics South Africa

41

P0309.3

Cape. Other forms of heart disease were the leading cause of death in only one district-Ngaka Modiri Molemo in North West. HIV disease was part of the ten leading causes of death for all districts in Eastern Cape, KwaZulu-Natal, North West and Mpumalanga. The only districts where HIV disease was not among the ten leading underlying causes of death were Central Karoo and Overberg (both in Western Cape), Ekurhuleni and West Rand in Gauteng, Namakwa in Northern Cape, Greater Sekhukhune, Mopani and Vhembe in Limpopo, and Fezile Dabi in Free State. The district with the highest percentage of deaths (over 10%) due to HIV disease was John Taolo Gaetsewe in Northern Cape (17,5%).

4.7.8 Underlying natural causes of death by population group Due to a large proportion of unknown or unspecified cases, the ten leading underlying natural causes of death by population group are not discussed in this section. The discussion and distribution of underlying causes of death by population group are provided in Appendices Q and Q.1 (see pages 128−129), respectively.

4.8 Non-natural causes of death This subsection discusses non-natural causes of death based on all external causes of morbidity and mortality derived from the causes of death specified on the death notification forms. Non-natural causes of death are chapter 20 (V01-Y98) of ICD-10 and number 19 in Table 4.3. External causes of morbidity and mortality are treated as non-natural causes. More than a tenth (10,5%) of all deaths that occurred in 2014 were due to external causes of morbidity and mortality (refer to Table 4.3). Table 4.11 shows the broad groups of non-natural causes as a proportion of nonnatural deaths as well as all 2014 deaths. The majority of non-natural causes of death resulted from other external causes of accidental injury (54,6% of non-natural causes and 5,7% of all causes). Event of undetermined intent (an ill-defined group of non-natural causes of death) was the second most common non-natural cause of death and accounted for 17,1% of non-natural causes and 1,8% of all causes of death. Essentially, nearly three quarters of non-natural causes of deaths were not adequately stated to allocate them as transport accidents, assault, complications of medical and surgical care, intentional self-harm or sequelae of external causes of morbidity and mortality. This clearly indicates that the interpretation of results of non-natural causes must be treated with caution given this high percentage of misclassified causes of death. The quality of information on causes of death depends heavily on the diligence of certifying officials, who also depend on availability of information to assist them in completing death notification forms accurately. In the absence of medical records at the time of death; dead on arrival cases; and lack of sufficient details to indicate the manner of death at the time of registration (i.e. accident, suicide and homicide), it may be difficult for certifying officials to assign causes of death. Furthermore, certifying officials may ignorantly fail to provide sufficient details required to code the causes of death appropriately. For example, there are a number of cases where a cause of death is specified as multiple injuries, without indication of what causes such injuries, be it transport accident, suicide or homicide. Where insufficient details are provided to code the non-natural cause of death accurately, Stats SA codes such deaths as other external causes of accidental injury or event of undetermined intent in line with the recommendations of WHO in classifying unknown non-natural causes of death (WHO, 2009b). As such, the unexpected lower number of deaths due to transport accidents, assault, complications of medical and surgical care, intentional self-harm or sequelae of external causes of morbidity and mortality are as a result of causes misclassified as other external causes of accidental injury or event of undetermined intent. Of the properly defined non-natural causes of death, the most common was transport accidents (12,4%), followed by assault (11,1%). Complications of medical and surgical care, intentional self-harm and sequelae of external causes of morbidity and mortality each accounted for less than 5% of non-natural causes of death.

Mortality and causes of death in South Africa, 2014: Findings from death notification

Statistics South Africa

P0309.3

42

Table 4.11: Distribution of non-natural causes of death by broad groups, 2014 Number

Percentage of nonnatural causes

Percentage of all causes (N = 453 360)

26 056

54,6

5,7

Event of undetermined intent (Y10-Y34)

8 176

17,1

1,8

Transport accidents (V01-V99)

5 926

12,4

1,3

Assault (X85-Y09)

5 314

11,1

1,2

Complications of medical and surgical care (Y40-Y84)

1 660

3,5

0,4

585

1,2

0,1

44

0,1

0,0

47 761

100,0

Causes of death (based on ICD-10, 1992) Other external causes of accidental injury (W00-X59)

Intentional self-harm (X60-X84) Sequelae of external causes of morbidity and mortality (Y85-Y89) Total

Since the broad group, other external causes of accidental injury, comprised more than half of all non-natural deaths, breaking down deaths due to external causes of accidental injury was considered necessary in order to provide information that can be used to better understand deaths due to this cause. The breakdown of deaths due to external causes of accidental injury is presented in Table 4.12. More than forty per cent of the deaths (41,4%) were due to accidental exposure to other and unspecified factors. This includes exposure to other specified factors as well as exposure to unspecified factors causing fracture or injury. Exposure to inanimate mechanical forces was the second most common cause of death, accounting for 19,2% of deaths in this group. Exposure to inanimate mechanical forces includes, among others, handgun discharge. Deaths due to other accidental threats to breathing came third, comprising 17,9% of deaths. Table 4.12: Distribution of deaths due to other external causes of accidental injury, 2014 Cause of death (based on ICD-10) Accidental exposure to other and unspecified factors (X58-X59)

Number

Percentage

10 778

41,4

Exposure to inanimate mechanical forces (W20-W49)

4 990

19,2

Other accidental threats to breathing (W75-W84)

4 676

17,9

Exposure to smoke, fire and flames (X00-X09)

2 299

8,8

Accidental drowning and submersion (W65-W74)

1 579

6,1

Accidental poisoning by and exposure to noxious substances (X40-X49)

864

3,3

Exposure to electric current, radiation and extreme ambient air temperature and pressure (W85-W99)

325

1,2

Exposure to forces of nature (X30-X39)

261

1,0

Falls (W00-W19)

183

0,7

Contact with venomous animals and plants (X20-X29)

49

0,2

Exposure to animate mechanical forces (W50-W64)

32

0,1

Overexertion, travel and privation (X50-X57)

11

0,0

9

0,0

26 056

100,0

Contact with heat and hot substances (X10-X19) Total

4.8.1 Non-natural causes of death by age and sex This subsection looks at the distribution of non-natural causes of death by sex and broad age groups (0, 1–14, 15–29, 30–44, 45–64 and 65+). Age group 15–44 has been divided into two age groups (15–29 and 30–44) as recommended by the WHO (1992). Table 4.13 shows the distribution of non-natural causes of death by sex and broad age groups for deaths that occurred in 2014. The age group mostly affected by non-natural causes of death was age group 15–29 years for both sexes, accounting for 36,7% of all non-natural deaths. Mortality and causes of death in South Africa, 2014: Findings from death notification

Statistics South Africa

43

P0309.3

Differences by sex show that males had three times higher the proportion of deaths due to non-natural causes (15,3%) as compared to females (5,1%). Furthermore, for each of the age groups (with the exception of infants [age 0]), males had higher proportions of deaths due to non-natural causes than females, with the gap much wider at age group 15–29 years where as much as 55,0% of male deaths resulted from non-natural causes compared to 13,9% of female deaths in the same age group. For both sexes, males and females, other external causes of accidental injury was the leading non-natural cause of death for all age groups. The second most common non-natural cause of death amongst males was event of undetermined intent for all age groups, except for those aged 1–14 years. The same was true for females with the exception of age group 45–64 years. Transport accidents was the second most common non-natural cause of death for males aged 1–14 years and females aged 45–64 years. The third most common non-natural cause was assault for males but was the fifth most common non-natural cause of death amongst females. Assault was more common for males aged 15–29 years, affecting 19,7% of non-natural deaths in this age group. Excluding deaths due to other external causes of accidental injury and event of undetermined intent, female deaths were mostly linked to transport accidents and complications of medical and surgical care. These causes accounted for 13,7% and 7,9% of deaths respectively. For males, the most common non-natural cause of death was assault (12,9%), followed by transport accidents (12,1%). For each of the sexes, intentional self-harm and sequelae of external causes of morbidity and mortality were very rare.

Mortality and causes of death in South Africa, 2014: Findings from death notification

44

11 618

All causes

6 678

5 331

1 347

1 347

0

20

223

20

4

873

207

8 099

5 915

2 184

2 184

1

28

280

38

4

1 488

345

14 777

11 246

3 531

3 531

1

48

503

58

8

2 361

552

1−14

19 473

16 770

2 703

2 703

0

73

565

238

71

1 340

416

24 336

10 960

13 376

13 376

4

68

2 473

2 641

210

6 544

1 436

43 809

27 730

16 079

16 079

4

141

3 038

2 879

281

7 884

1 852

15−29

38 007

35 727

2 280

2 280

3

105

398

179

23

1 194

378

51 180

39 730

11 450

11 450

5

105

2 154

1 434

152

6 121

1 479

89 187

75 457

13 730

13 730

8

210

2 552

1 613

175

7 315

1 857

30−44

Number

52 922

50 742

2 180

2 180

2

274

310

91

19

1 135

349

74 214

67 736

6 478

6 478

17

250

1 099

462

77

3 665

908

127 136

118 478

8 658

8 658

19

524

1 409

553

96

4 800

1 257

45−64

*Excluding cases with unspecified age; **Excluding cases with unspecified age; *** Excluding cases with unspecified age.

11 205

Natural causes

413 413

Non-natural causes

0

Sequelae of external causes of morbidity and mortality (Y85-Y89)

Subtotal

26 18

Complications of medical and surgical care (Y40-Y84)

7

Assault (X85-Y09)

Event of undetermined intent (Y10-Y34)

0

344

Intentional self-harm (X60-X84)

Other external causes of accidental injury (W00-X59)

Transport accidents (V01-V99)

18

13 529

All causes

Females*

13 063

Natural causes

466 466

Non-natural causes

0

Sequelae of external causes of morbidity and mortality (Y85-Y89)

Subtotal

23 24

Complications of medical and surgical care (Y40-Y84)

7

Event of undetermined intent (Y10-Y34)

0

Assault (X85-Y09)

396

Intentional self-harm (X60-X84)

Other external causes of accidental injury (W00-X59)

Transport accidents (V01-V99)

16

25 147

All causes

Males*

24 268

Natural causes

879 879

Sequelae of external causes of morbidity and mortality (Y85-Y89)

Non-natural causes

0

Complications of medical and surgical care (Y40-Y84)

Subtotal

49 42

Event of undetermined intent (Y10-Y34)

0 14

Assault (X85-Y09)

740

34

0

Intentional self-harm (X60-X84)

Other external causes of accidental injury (W00-X59)

Both sexes* Transport accidents (V01-V99)

Causes of death based on ICD-10

Table 4.13: Underlying non-natural causes of death by age group and sex, 2014

Statistics South Africa

214 629

203 641

10 988

10 988

13

863

1 678

599

122

6 211

1 502

235 986

199 911

36 075

36 075

31

788

6 299

4 650

459

19 480

4 368

450 615

403 552

47 063

47 063

44

1 651

7 977

5 249

581

25 691

5 870

Total

100,0

96,4

3,6

100,0

0,0

4,4

6,3

1,7

0,0

83,3

4,4

100,0

96,6

3,4

100,0

0,0

5,2

4,9

1,5

0,0

85,0

3,4

100,0

96,5

3,5

100,0

0,0

4,8

5,6

1,6

0,0

84,2

3,9

0

100,0

79,8

20,2

100,0

0,0

1,5

16,6

1,5

0,3

64,8

15,4

100,0

73,0

27,0

100,0

0,0

1,3

12,8

1,7

0,2

68,1

15,8

100,0

76,1

23,9

100,0

0,0

1,4

14,2

1,6

0,2

66,9

15,6

1−14

100,0

86,1

13,9

100,0

0,0

2,7

20,9

8,8

2,6

49,6

15,4

100,0

45,0

55,0

100,0

0,0

0,5

18,5

19,7

1,6

48,9

10,7

100,0

63,3

36,7

100,0

0,0

0,9

18,9

17,9

1,7

49,0

11,5

15−29

100,0

94,0

6,0

100,0

0,1

4,6

17,5

7,9

1,0

52,4

16,6

100,0

77,6

22,4

100,0

0,0

0,9

18,8

12,5

1,3

53,5

12,9

100,0

84,6

15,4

100,0

0,1

1,5

18,6

11,7

1,3

53,3

13,5

30−44

Percentage

100,0

95,9

4,1

100,0

0,1

12,6

14,2

4,2

0,9

52,1

16,0

100,0

91,3

8,7

100,0

0,3

3,9

17,0

7,1

1,2

56,6

14,0

100,0

93,2

6,8

100,0

0,2

6,1

16,3

6,4

1,1

55,4

14,5

45−64

100,0

97,6

2,4

100,0

0,4

18,1

7,6

3,1

0,2

64,2

6,5

100,0

96,7

3,3

100,0

0,2

14,8

12,7

3,2

0,8

59,7

8,7

100,0

97,2

2,8

100,0

0,3

16,4

10,2

3,2

0,5

61,9

7,6

65+

100,0

94,9

5,1

100,0

0,1

7,9

15,3

5,5

1,1

56,5

13,7

100,0

84,7

15,3

100,0

0,1

2,2

17,5

12,9

1,3

54,0

12,1

100,0

89,6

10,4

100,0

0,1

3,5

16,9

11,2

1,2

54,6

12,5

Total

Mortality and causes of death in South Africa, 2014: Findings from death notification

85 931

83 866

2 065

2 065

8

373

156

64

5

1 325

134

64 628

62 507

2 121

2 121

4

313

270

68

16

1 266

184

150 559

146 373

4 186

4 186

12

686

426

132

21

2 591

318

65+

P0309.3

Statistics South Africa

45

P0309.3

4.8.2 Non-natural causes of death by province of death occurrence The distribution of the underlying non-natural causes of death by province for 2014 is shown in Table 4.14. Western Cape had the highest proportion of deaths due to non-natural causes (13,7%), followed by Northern Cape (11,1%). The lowest proportions of deaths due to non-natural causes were observed in North West (8,2%) and Limpopo (8,3%). In other provinces (i.e. Eastern Cape, KwaZulu-Natal, Gauteng and Mpumalanga) nonnatural causes of death ranged from 10,5% to 10,9%. The most common causes of non-natural deaths in all provinces were other external causes of accidental injury, although their proportions varied by province. Mpumalanga (70,4%) had the highest proportion of deaths due to external and other causes of accidental injury and North West (45,6%) had the lowest proportion of non-natural deaths due to this cause. The second leading non-natural causes of deaths differed by province. Assault was the second most common cause only in Western Cape where 19,5% of deaths were due to this cause. Event of undetermined intent was the second leading cause of death in Eastern Cape, KwaZulu-Natal, North West and Gauteng, while transport accidents was the second leading cause of death in Northern Cape, Free State, Mpumalanga and Limpopo. The proportion of deaths due to transport accidents was highest in Northern Cape, and responsible for 30,3% deaths in the province, followed by Limpopo (29,5%). However, Limpopo had the highest number of transport accident deaths, with 1 164 deaths as compared to 474 for Northern Cape. Complications of medical and surgical care, intentional self-harm and sequelae of external causes of morbidity and mortality were least common, each affecting about 5% or less of non-natural deaths in each province except for Northern Cape and Gauteng, where 5,4% of non-natural deaths were due to intentional self-harm in Northern Cape and 5,3% of non-natural deaths were due to complications of medical and surgical care in Gauteng.

4.8.3 Non-natural causes of death by district municipalities The information provided in Appendices O to O2 also shows the proportion of deaths due to non-natural causes for each of the district municipalities. Non-natural causes of death are on the column labelled external causes of morbidity and mortality (V01-Y98). The highest proportion of deaths due to non-natural causes was observed in the City of Cape Town (14,9%) and Central Karoo (14,0%), both in Western Cape. The lowest percentage of deaths due to non-natural causes was observed in Dr Ruth Segomotsi Mompati in North West (6,1%) and Ngaka Modiri Molema in North West (6,7%). Non-natural causes of death were less than 10% in all districts for only North West and Limpopo.

Mortality and causes of death in South Africa, 2014: Findings from death notification

44 020

Total

100,0

86,3

13,7

100,0

0,2

4,5

12,5

19,5

1,1

53,6

8,7

%

66 553

59 310

7 243

7 243

7

187

1 303

1 256

44

3 526

920

Number

%

100,0

89,1

10,9

100,0

0,1

2,6

18,0

17,3

0,6

48,7

12,7

Eastern Cape

14 056

12 494

1 562

1 562

0

46

70

341

84

547

474

Number

100,0

88,9

11,1

100,0

0,0

2,9

4,5

21,8

5,4

35,0

30,3

%

Northern Cape

33 045

29 880

3 165

3 165

0

107

254

487

20

1 723

574

Number

%

46

100,0

90,4

9,6

100,0

0,0

3,4

8,0

15,4

0,6

54,4

18,1

Free State

*Excluding deaths that occurred outside South Africa and deaths with unspecified province of death

37 989

Natural causes

6 031

Non-natural

13

Sequelae of external causes of morbidity and mortality (Y85-Y89)

6 031

270

Complications of medical and surgical care (Y40Y84)

Subtotal

752

1 177

Event of undetermined intent (Y10-Y34)

Assault (X85-Y09)

66

3 231

Other external causes of accidental injury (W00-X59)

Intentional self-harm (X60X84)

522

Number

Transport accidents (V01V99)

Causes of death (based on ICD-10)

Western Cape

Table 4.14: Underlying non-natural causes of death by province, 2014

Statistics South Africa

79 138

70 791

8 347

8 347

3

283

1 280

869

227

4 672

1 013

Number

34 933

32 061

2 872

2 872

1

057

785

262

51

1 309

407

Number

%

100,0

91,8

8,2

100,0

0,0

2,0

27,3

9,1

1,8

45,6

14,2

North West

96 736

86 311

10 425

10 425

16

552

2 789

536

26

6 142

364

Number

0,2

5,3

26,8

5,1

0,2

58,9

3,5

%

100,0

89,2

10,8

100,0

Gauteng

35 002

31 294

3 708

3 708

2

076

394

160

45

2 610

421

Number

%

100,0

89,4

10,6

100,0

0,1

2,0

10,6

4,3

1,2

70,4

11,4

Mpumalanga

47 849

43 897

3 952

3 952

2

078

486

200

19

2 003

1 164

Number

0,1

2,0

12,3

5,1

0,5

50,7

29,5

%

100,0

91,7

8,3

100,0

Limpopo

Mortality and causes of death in South Africa, 2014: Findings from death notification

100,0

89,5

10,5

100,0

0,0

3,4

15,3

10,4

2,7

56,0

12,1

%

KwaZulu-Natal

P0309.3

Statistics South Africa

P0309.3

47

4.9 Comparison between immediate, contributing and underlying causes of death This section provides information on the total number of causes of death reported on each form. Section G of both death notification forms (BI-1663 and DHA-1663) makes provision for several causes to be reported on the form (see Appendix B and Appendix B1). A maximum number of six causes can be recorded on the death notification form. These causes are recorded as immediate, contributing or underlying causes of death. As noted in Table 4.1, most of the death notification forms for 2014 deaths (53,7%) had just one cause of death indicated. This was followed by 26,6% of forms which recorded two causes of death. Table 4.15 shows the total number of times a specific cause of death was recorded on the 2014 death notification forms, be it an immediate, contributing or underlying cause for the 20 most commonly reported causes of death. The underlying causes of death were grouped according to the different broad groups. These 20 causes of death include natural and non-natural causes, as well as deaths due to symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified. Tuberculosis was the most frequently recorded cause of death in 2014, mentioned in a total of 54 644 death notification forms. This means that 12,1% of all death notification forms had tuberculosis recorded as either immediate, contributing or underlying cause of death. The second and third most mentioned causes were other forms of heart diseases and ill-defined and unknown causes of mortality, representing 11,4% and 11,3% of deaths, respectively. Hypertensive diseases was the fourth most frequently cited cause of death in 2014 and was mentioned in 10,6% of the forms. Other external causes of accidental injury was the seventh most frequently stated cause (6,0%) and the only non-natural cause appearing among the twenty most commonly stated causes of death. Table 4.15: Distribution of the 20 most commonly reported causes of death, 2014 Rank

Causes of death (based on ICD-10)

Number of deaths in which the causes was reported

Percentage of all deaths

1

Tuberculosis (A15-A19)*

54 644

12,1

2

Other forms of heart disease (I30-I52)

51 577

11,4

3

Ill-defined and unknown causes of mortality (R95-R99)

51 352

11,3

4

Hypertensive diseases (I10-I15)

48 138

10,6

5

Influenza and pneumonia (J09-J18)

44 996

9,9

6

Cerebrovascular diseases (I60-I69)

33 481

7,4

7

Other external causes of accidental injury (W00-X59)

27 374

6,0

8

Diabetes mellitus (E10-E14)

26 289

5,8

9

Other viral diseases (B25-B34)

25 921

5,7

10

Renal failure (N17-N19)

24 606

5,4

11

Other bacterial diseases (A30-A49)

24 057

5,3

12

Human immunodeficiency virus [HIV] disease (B20-B24)

22 866

5,0

13

Intestinal infectious diseases (A00-A09)

20 469

4,5

14

Chronic lower respiratory diseases (J40-J47)

17 998

4,0

15

Metabolic disorders (E70-E90)

17 863

3,9

16

Ischaemic heart diseases (I20-I25)

17 438

3,8

17

16 754

3,7

14 347

3,2

19

Other diseases of the respiratory system (J95-J99) Certain disorders involving the immune mechanism (D80-D89) Malignant neoplasm of ill-defined, secondary and unspecified sites (C76-C80)

12 426

2,7

20

Other acute lower respiratory infections (J20-J22)

11 338

2,5

18

Mortality and causes of death in South Africa, 2014: Findings from death notification

Statistics South Africa

P0309.3

48

All the natural underlying causes of death that appeared among the ten leading causes of death also appeared among the 20 most commonly mentioned causes. The ten leading underlying natural causes of death shown in Table 4.5 for 2014 deaths are presented in Table 4.16 to show the breakdown of the number of deaths by whether the death was selected as the underlying cause or whether it was reported as the immediate or contributing cause. Within each category, the counts of underlying causes and immediate or contributing causes are not duplicated, so that they can be summed up to equal the total number of times a specific cause of death was recorded on a death notification form. For example, 12 096 death notification forms had chronic lower respiratory diseases as the underlying cause and another 5 902 deaths had it as an immediate or contributing cause. These give a total of 17 998 death notification forms that had chronic lower respiratory diseases mentioned on them. According to ICD-10 coding practices, a cause of death cannot be entered more than once in one death notification form. The percentage column in Table 4.16 shows the percentage distribution of whether a specific cause was stated as an underlying, immediate or contributing cause. Where human immunodeficiency virus [HIV] disease was reported on the form, it was selected as an underlying cause in 95,9% of the forms; diabetes mellitus was selected as the underlying cause in 86,5% of the forms. Tuberculosis was attributed as an underlying cause in 69,3% of the forms while cerebrovascular diseases was selected as an underlying cause in 69,0% of the forms in which it appeared. The causes of death which, when mentioned, were least selected as the underlying causes, were other forms of heart diseases (41,4%) and hypertensive diseases (36,9%). Table 4.16: Number and percentage of deaths selected as underlying or reported as immediate or contributing causes of death, 2014 Number of deaths

Percentage of any mention

Causes of death (ICD-10)

Underlying rank

Tuberculosis (A15-A19)**

1

37 878

16 766

54 644

69,3

30,7

100,0

Cerebrovascular diseases (I60-I69)

2

23 088

10 393

33 481

69,0

31,0

100,0

Diabetes mellitus (E10-E14)

3

22 747

3 542

26 289

86,5

13,5

100,0

Influenza and pneumonia (J09-J18)

4

22 035

22 961

44 996

49,0

51,0

100,0

5

21 938

928

22 866

95,9

4,1

100,0

6

21 339

30 238

51 577

41,4

58,6

100,0

Human immunodeficiency virus [HIV] disease (B20-B24) Other forms of heart disease (I30I52)

Underlying

Immediate Immediate Total Total Underlying or or recorded recorded contributing contributing

Hypertensive diseases (I10-I15) Intestinal infectious diseases (A00A09)

7

17 770

30 368

48 138

36,9

63,1

100,0

8

14 472

5 997

20 469

70,7

29,3

100,0

Other viral diseases (B25-B34)

9

13 996

11 925

25 921

54,0

46,0

100,0

Chronic lower respiratory diseases (J40-J47)

10

12 096

5 902

17 998

67,2

32,8

100,0

Mortality and causes of death in South Africa, 2014: Findings from death notification

Statistics South Africa

49

P0309.3

5. Summary and concluding remarks The South African government, through the National Development Plan (NDP), identified the need to ensure a long and healthy life for its population by 2030 (National Planning Commission, 2011). The NDP highlights the importance of credible data in informing decentralised prevention and curative measures for communicable diseases, especially tuberculosis and HIV/AIDs, and for the emerging tide of non-communicable diseases as well as injuries and accidents. This statistical release provides information on mortality and causes of death for deaths that occurred in 2014, with some information drawn from death occurrences for the period 1997–2013 to show trends in mortality and causes of death. The information provided equips policymakers with the opportunity to make evidence-based decisions and evaluate progress towards an improved health status of the nation – “leaving no one behind in better health outcomes”. The results generally show that mortality continues to decline in the country as observed since 2007. In total, 453 360 deaths that occurred in 2014 were registered at the Department of Home Affairs (DHA) and processed by Statistics South Africa (Stats SA). This was a decline of 3,2% from the 473 384 registered deaths for 2013. In terms of registration timeliness, in 2014, the majority of the deaths (78,4%) were registered within the three days stipulated by the legislative framework. Median ages at death showed that mortality now occurs later in life, which is an indication of declining premature mortality. The median ages at death for total deaths increased from 42,8 years in 2005 (in which it was the lowest since 1997) to 53,9 years in 2014, reflecting improvement in mortality. In 2014, the median age at death for females was 58,1 years and 51,4 years for males. Further, age and sex differentials indicated that the highest percentage of male deaths occurred amongst those aged 60–64 years, whereas female deaths peaked at age group 80–84 years. In general, there were relatively more male deaths from age zero up to age group 65–69 years, with female deaths exceeding male deaths at older age groups (70 years and above). In 2014, the overall sex ratio at death was 110 male deaths per 100 female deaths. The distribution of deaths by province of death occurrence showed that the highest proportion of deaths (21,3%) occurred in Gauteng province, followed by KwaZulu-Natal (17,0%) and then Eastern Cape (14,8%). The lowest proportion of deaths occurred in Northern Cape (2,9%). Information on causes of death showed that in 2014, the majority of deaths (52,7%) were attributed to noncommunicable diseases. Communicable diseases accounted for 36,8% of deaths, while injuries were responsible for 10,5% of deaths. The analysis of the ten leading causes of death, across all age groups, showed that five of the causes were non-communicable diseases, while the other five were communicable diseases. The distribution of the causes of death further showed that the proportion of deaths attributed to communicable diseases ranged from 21,8% in Western Cape to 44,4% in Limpopo. Deaths in Western Cape were mostly characterised by high non-communicable diseases (64,4%), followed by Gauteng (55,8%) and Eastern Cape (54,0%). Mpumalanga had the lowest proportion of deaths attributed to non-communicable diseases (45,3%), whereas Limpopo had the second lowest (47,3%). With regard to injuries, North West and Limpopo had the lowest proportion of deaths due to injuries, each representing 8,3% of deaths. The other provinces had more than 10% deaths due to injuries, with the maximum observed in Western Cape (13,7%) and Northern Cape (11,2%). When considering the specific causes of death, the first three leading causes of natural deaths in 2014 were tuberculosis, cerebrovascular diseases and diabetes mellitus. Tuberculosis maintained its rank as the number one leading cause of death in South Africa with 8,4% deaths, although deaths due to tuberculosis decreased annually in the recent years. Cerebrovascular diseases was ranked fourth in 2013 and moved two positions up in 2014, while diabetes mellitus moved from fifth rank in 2013 to third in 2014. Influenza and pneumonia moved two positions down from second rank in 2013 to fourth rank in 2014, and HIV diseases moved two ranks down to fifth position from third in 2013. The proportion of deaths due to HIV diseases and influenza and pneumonia in 2014 was 4,8% and 4,9%, respectively. With regard to sex differentials, tuberculosis (9,5%) and influenza and pneumonia (4,7%) were ranked first and second respectively amongst the ten leading causes of death for males, while for females, tuberculosis (7,1%) was the leading underlying cause of death, followed by diabetes mellitus (6,4%). The third leading underlying cause of death for females was cerebrovascular diseases (6,1%), while for males, HIV diseases (4,7%) was Mortality and causes of death in South Africa, 2014: Findings from death notification

Statistics South Africa

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ranked third. It was the first time that malignant neoplasms of female genital organs was amongst the top ten leading causes of death for females and was ranked tenth, responsible for 2,5% of female deaths. It was also for the first time that cerebrovascular diseases was the second leading underlying cause of death in South Africa. Age differentials show that respiratory and cardiovascular disorders specific to the perinatal period was the leading cause of death amongst infants, and was responsible for 14,5% infant deaths, followed by intestinal infectious diseases as the second leading underlying cause of death and responsible for 12,9% infant deaths. Intestinal infectious diseases was ranked as the first leading cause of death amongst those aged 1–14 years, responsible for 12,2% of deaths in this age group. Tuberculosis was ranked the first leading cause of death for adults (both age groups 15–44 and 45–64 years) whilst for those aged 65 years and older, cerebrovascular diseases was the leading cause of death. Diabetes mellitus, HIV diseases, cerebrovascular diseases, tuberculosis, hypertensive diseases and other forms of heart disease were common leading causes of death in all the provinces, although the proportion of deaths and rankings differed greatly by province. Tuberculosis was the leading cause of death in six of the nine provinces. KwaZulu-Natal had the highest proportion of deaths due to tuberculosis and Western Cape had the lowest proportion of deaths due to this cause. The leading cause of death in Western Cape was diabetes mellitus, and influenza and pneumonia was the leading cause in Limpopo. The 2014 data showed that over 10% of deaths were due to non-natural causes, mainly affecting age group 15–29 years. Furthermore, the number of male deaths due to non-natural causes was more than three times the number of female deaths due to non-natural causes. Most non-natural causes resulted from other external causes of accidental injury. Transport accidents and assault contributed 12,5% and 11,2% of all non-natural causes of death respectively. The distribution of the underlying non-natural causes of death by province for 2014 showed that Western Cape had the highest proportion of deaths due to non-natural causes, followed by Northern Cape and Gauteng. The lowest proportions of deaths due to non-natural causes were observed in Free State, North West and Limpopo. Data on causes of death rely heavily on the quality of the input data, thus efforts in improving the quality of completing section G of the death notification form cannot be emphasised enough. There has been a slight improvement in recording the cause of death, and this is evident from the constant decline in the proportion of causes of death assigned to symptoms, signs and abnormal clinical and laboratory findings not elsewhere classified. There were 12,5% deaths assigned to this main group in 2014.

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6. References Bennett, N.G. & Horiuchi, S. 1981. Estimating the Completeness of Death Registration in a Closed Population. Population Index, 47(2): 207–21. Bennett, N.G. & Horiuchi, S. 1984. Mortality estimation from registered deaths in less developed countries, Demography, 21(2): 217–234. Department of Health, 2014. The national health promotion policy and strategy, 2015–2019. Pretoria: Government of South Africa. Hill, K. 1987. Estimating Census and Death Registration Completeness, Asian and Pacific Population Forum, 1(3): 8–13, 23–24. Mahapatra, P., Shibuya, K., Lopez, A., Coullare, F., Notzon, F.C. & Szreter, S. On behalf of the Monitoring Vital Events (MoVE) writing group, 2007. Civil registration systems and vital statistics: successes and missed opportunities, The Lancet, 370 (10): 1653–1663. National Planning Commission, 2011. National Development Plan. Pretoria: The Presidency. Republic of South Africa, 1959. Inquests Act, 1959 (Act No. 58 of 1959). Pretoria: Government of South Africa. Republic of South Africa, 1992. Births and Deaths Registration Act, 1992 (Act No. 51 of 1992). Pretoria: Government of South Africa. Republic of South Africa, 2010. Births and Deaths Registration Amendment Act, 2010 (Act No. 18 of 2010). Pretoria: Government of South Africa. Republic of South Africa, 2014. Regulations on the Registration of Births and Deaths (Government Notice No. 37373). Pretoria: Government of South Africa. Republic of South Africa, 2015. National Public Health Institute of South Africa Bill (Government Notice No. 39392). Pretoria: Government of South Africa. Stats SA (Statistics South Africa), 2014. Mortality and causes of death in South Africa, 2011: findings from death notification form. Pretoria: Statistics South Africa. UN (United Nations), 2014. Principles and recommendations for a vital statistics system, Third Revision. Department of economic and social affairs: United Nations publication. WHO (World Health Organization) 1992. International classification of diseases and related health problems, Tenth Revision. Geneva: World Health Organization. WHO (World Health Organization), 2009a. International classification of diseases and related health problems, Tenth Revision. Volume 1, 2008 Edition. Geneva: World Health Organization. WHO (World Health Organization), 2009b. International classification of diseases and related health problems, Tenth Revision. Volume 2, 2008 Edition. Geneva: World Health Organization. WHO (World Health Organization), 2013. Strengthening civil registration and vital statistics for births, deaths and causes of death. Resource Kit, WHO, Geneva, Switzerland. WHO (World Health Organization), 2014a. Analysing mortality levels and causes-of-death (ANACoD) Electronic Tool, Version 2.0. Department of Health Statistics and Information Systems, WHO, Geneva, Switzerland.

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WHO (World Health Organization), 2014b. Performing routine basic checks on compiling cause-of-death data (CoDEdit) Electronic Tool, Version 1.0. Department of Health Statistics and Information Systems, WHO, Geneva, Switzerland.

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Appendices Appendix A: Definitions Causes of death are all those diseases, morbid conditions, or injuries that either resulted in or contributed to death, and the circumstances of the accident or violence which produced any such injuries. Contributing causes of death are morbid conditions, if any, giving rise to the immediate cause of death. Death is a permanent disappearance of all evidence of life at any time after a live birth has taken place. Human immunodeficiency virus (HIV) is the pathogenic organism responsible for the acquired immunodeficiency syndrome (AIDS), also known as the lymphadenopathy virus (LAV). Immediate cause of death is the disease or condition directly leading to death. Leading underlying causes of death are the most frequent underlying causes of death in any given population. In this release, the underlying causes of death are ranked according to frequency. Live birth in relation to a child, means the birth of a child born alive. Multiple causes of death are all morbid conditions, diseases and injuries entered on the death certificate. These include those involved in the morbid train of events leading to the death which were classified as either the underlying cause, the intermediate cause, or any intervening cause and those conditions which contributed to death but were not related to the disease or condition causing death. Neonatal death is the death of a live-born child during the first 28 completed days of life. Perinatal deaths are a combination of stillbirths and infants who die in the first week after birth (early neonatal deaths) Post-neonatal death is a live-born infant dying after 28 completed days of birth but before the first year of life is completed. Population group: According to the Population Registration Act Repeal Act (No. 114 of 1991), the South African Population Register no longer stores information regarding the population group of individuals whose details are on the register. This Repeal Act is still in place; therefore, the population group used in this report refers to the population group as identified by the certifying physician/professional nurse on the death notification form and is only used for statistical purposes. Stillbirth is the intra-uterine death of a foetus of at least 26 weeks of gestation that showed no sign of life after complete birth. Underlying cause of death (previously known as primary cause) is the disease or injury that initiated the sequence of events leading directly to death; or the circumstances of the accident or violence which produced the fatal injury.

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Appendix B: Death notification form (BI-1663)

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Appendix B: Reverse side of the BI-1663 death notification form

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Appendix B1: Death notification form (DHA-1663A)

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Appendix B1: Death notification form (DHA-1663A) – page 2 of 3

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Appendix B1: Death notification form (DHA-1663A) – page 3 of 3

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Appendix B2: Death notification form (DHA-1663B)

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Appendix C: Assessment of the quality of data The gold standard in mortality statistics is to have real-time data on the number of deaths and corresponding medically certified causes of death (WHO, 2013). However, the information needs to be of the highest quality in terms of completeness of death registration, timeliness of death registration and publication of death statistics, and accurateness of information provided embedded in deaths with correct information on characteristics of deceased, accurate causes of deaths and lower proportions of deaths with ill-defined or unspecified causes of deaths. In this regard, data quality confrontation has to be undertaken for improvements in mortality statistics to be realised. Improvements in quality of mortality data are essential in more effective policies and programmes concerning people’s health and quality of life with the aim of leaving no one behind. Completeness of death registration The proportion of all deaths that occurred in a specific period and were covered by the civil registration of a country (referred to as completeness) was estimated at 94% for adults deaths (15 years and older) for the intercensal period 2007–2011. This had improved slightly from the 93% completeness estimated during the 2001–2007 intercensal period. For 2014 adult death registration, the recent 94% completeness level is adopted. Revised estimates will be provided after the 2016 Community Survey. The methods used to derive the level of completeness for the intercensal period 2001–2007 and 2007–2011 were the Generalised Growth Balance (GGB) as proposed by Hill (1987), and the Synthetic Extinct Generation method (SEG) by Bennett and Horiuchi (1981, 1984) deaths. For the underlying assumptions and method followed on deriving completeness for the intercensal period 2007–2011, refer to Stats SA (2014). The extent of completeness of child deaths registration (0–14 years), however, is less certain, given the lack of completeness level estimates. Timeliness of death registration In South Africa, the Regulations for the Registration of Births and Deaths published in 2014 mandate that a death must be registered within 72 hours (3 days) of occurrence (Republic of South Africa, 2014). Timeliness in death registration indicates that all deaths are registered within the legally stipulated time allowance (UN, 2014). In general, timeliness of death registration refers to the interval between the date of death occurrence and the date it was registered with the Department of Home Affairs (DHA). The number of days it took for deaths to be registered at DHA offices in 2014 is shown in Table C.1. For deaths that occurred in 2014, 15,6% were registered within a day of occurrence, 30,6% a day after the death had occurred, 19,3% on the second day after death occurrence and 13,0% on the third day. The proportion of deaths which were registered within the 72 hours (3 days) stipulated by the Regulations legislative framework was 78,4%. It is worth noting that although 21,6% of the deaths were not registered within the legislative framework’s stipulated time period, they were registered within a year of death occurrence and reached Stats SA in time for the production of the statistical release. Strategies are needed to improve adherence to the legislative framework especially for the delayed deaths that did not reach Stata SA in time for the 2014 deaths processing phase.

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Table C1: Distribution of deaths by the number of days it took to register the death, 2014 Number of days

Number of deaths

Within a day of death

Percentage

Cumulative percentage

70 709

15,6

15,6

138 627

30,6

46,2

2 days

87 295

19,3

65,4

3 days

58 984

13,0

78,4

4 days

35 012

7,7

86,2

5 days

20 220

4,5

90,6

1 day

6 days

11 456

2,5

93,1

7-13 days

19 080

4,2

97,4

14-20 days

3 107

0,7

98,0

21-30 days

1 862

0,4

98,5

31-364 days

6 822

1,5

100,0

186

0,0

100,0

453 360

100,0

1 year+ Total

Timeliness of publication of statistics Timeliness of publication refers to the mean time from end of reference period to publication. This statistical release took 11 months from the end of the reference period (2014) to publication. The primary focus of this publication is to present information on deaths that occurred in 2014. However, deaths from previous years are also presented to examine the timeliness of reporting of deaths, that is, the extent to which the data from previous years were registered late or not processed in time as indicated by the number of deaths processed after the end of the reference year. Table C.2 provides information on the number of deaths published in December 2014 for the years 1997–2013, the number of additional forms received during the 2014/2015 processing phase as well as the total number of deaths for each of the years as of December 2015. A total of 22 185 death notification forms were received in the 2014/2015 processing phase for deaths which occurred during the years 1997 and 2013 but were only registered or processed in 2014. Generally, most of the additional forms totalling 14 451 (65,1%) were for deaths that occurred in 2013. This high number of forms from 2013 deaths is attributed to the shortening of the processing time. A shorter processing time, impacts on the number of forms that reach Stats SA in time for the processing phase cut-off. The age and sex distribution of deaths from 1997 to 2014 updated for late registrations or delayed transfer of forms is provided in Appendices D (1997–1999), D.1 (2000–2002), D.2 (2003–2005), D.3 (2006–2008), D.4 (2009–2011) and D.5 (2012–2014) [see pages 68−73].

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Table C2: Number of deaths published in December 2014 and late registrations processed during the 2014/2015 processing phase by year of death, 1997–2013 Year of death 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 Total

Number of deaths published in December 2014 317 412 366 124 382 121 416 818 455 656 502 797 557 792 577 823 598 866 613 691 605 448 597 016 582 024 549 925 514 486 491 100 458 933 8 588 032

Additional forms received in the 2014 processing phase 315 353 409 224 398 363 466 394 401 323 501 765 932 476 452 962 14 451 22 185

Total number of deaths published in December 2015 317 727 366 477 382 530 417 042 456 054 503 160 558 258 578 217 599 267 614 014 605 949 597 781 582 956 550 401 514 938 492 062 473 384 8 610 217

Data confrontation Figure C.1 shows the comparison of the civil registration system number of deaths processed by Stats SA and those recorded on the National Population Register (NPR) maintained by the DHA. This comparison aims to evaluate the quality of the data based on cohesiveness of the data from the two systems. The key is to ensure that based on the known differences and disparities the two systems do not overlap and create disconnected statistical information. While the two systems show similar trends, the number of deaths processed by Stats SA is always higher than the number of deaths recorded on the NPR and this difference can be explained by the following: • Stats SA reports on all deaths registered at the DHA regardless of citizenship status and birth registration (South African citizens in the NPR, South African citizens not in the NPR, permanent residents and noncitizens). Although Stats SA reports on all deaths registered at DHA, some of the registered deaths are excluded from the report, as the forms were not transmitted from DHA to Stats SA in time for the processing phase cut-off. • The NPR only includes deaths of South African citizens and permanent residents whose particulars were already on the NPR at the time of death occurrence. The general pattern shows that the two sources have followed a similar pattern over time; consistent increases between years 1997 to 2006 and declining deaths thereafter. However, deaths processed by Stats SA remained higher than those on the NPR. The magnitude of the difference between the two sources may be affected by delayed death notification forms that did not make it in time for the processing phase cut-off. For example, in the 2013 mortality and causes of death statistical release, 458 933 deaths were processed and published by Stats SA, while for the same year 453 483 death records were found on the NPR (Stats SA, 2015). In the current release, the 2013 deaths increased to 473 384 with the processing of additional forms while the NPR deaths increased to 453 727, indicating an increase of 3,2% for deaths processed by Stats SA and an increase of 0,05% for deaths in the NPR. This implies that additional forms were higher for Stats SA, indicating that the death records were missed due to delays in transfer from DHA to Stats SA and late registrations.

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Figure C1: Number of deaths registered by source of data and year of death, 1997–2014 700 000

600 000

Number of deaths

500 000

400 000

300 000

200 000

100 000

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

2011

2012

2013

DHA(NPR) 262 907 301 494 329 352 367 560 409 410 443 707 489 995 515 460 537 073 558 458 553 800 546 517 533 304 509 326 487 312 470 706 453 727 Stats SA

317 727 366 477 382 530 417 042 456 054 503 160 558 258 578 217 599 267 614 014 605 949 597 781 582 956 550 401 514 938 492 062 473 384

*Data for 1997–2013 have been updated with late registrations/delayed death notification forms processed in 2014/2015.

Quality of causes of death information Quality information on underlying causes of death is critical to guide decision-making in public health. As such, it is important that this information is assessed from data processing through to the data analysis phase in order to measure the extent to which the data may be used for health policies and programmes. Table C.3 provides the assessment of the quality of causes of death data based on the number and percentage distribution of ill-defined causes by sex of the deceased. The ill-defined causes refer to diagnoses that are vague, non-specific and have insufficient details to be of value in promoting preventive and curative health interventions. Although ill-defined causes still help to provide the overall mortality due to broad diseases, they fail to provide a concise picture as they poorly attribute the underlying cause. The results show that for both sexes the highest proportions of ill-defined causes were symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (50,7%) followed by heart failure (11,0%) and then essential (primary) hypertension (7,8%). About 7,2% of ill-defined causes were due to event of undetermined intent for both sexes, with much higher proportions for males (11,5%) than for females (3,0%).

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Table C3: Number and percentage distribution of ill-defined causes of death by sex of the deceased, 2014*

Number Underlying cause of death (based in ICD-10) Male Streptococcal septicaemia (A40)

Female

Percentage Both sexes

Male

Female

Both sexes

1

2

3

0,0

0,0

0,0

2 451

3 064

5 515

4,4

5,5

4,9

179

259

438

0,3

0,5

0,4

1 499

1 445

2 944

2,7

2,6

2,6

Malignant neoplasm of independent (primary) multiple sites (C97) Disseminated intravascular coagulation [defibrination syndrome] (D65)

267

219

486

0,5

0,4

0,4

48

68

116

0,1

0,1

0,1

Volume depletion (E86)

665

678

1 343

1,2

1,2

1,2

Essential (primary) hypertension (I10)

3 237

5 404

8 641

5,8

9,7

7,8

Cardiac arrest (I46)

1 745

1 918

3 663

3,1

3,4

3,3

Heart failure (I50)

5 502

6 767

12 269

9,9

12,1

11,0

494

509

1 003

0,9

0,9

0,9

Other septicaemia (A41) Malignant neoplasm of other and ill–defined sites (C76) Malignant neoplasm without specification of site (C80)

Complications and ill-defined descriptions of heart disease (I51) Other and unspecified disorders of circulatory system (I99) Pulmonary oedema (J81)

18

17

35

0,0

0,0

0,0

175

194

369

0,3

0,3

0,3

Respiratory failure, not elsewhere classified (J96)

952

857

1 809

1,7

1,5

1,6

Hepatic failure, not elsewhere classified (K72)

729

661

1 390

1,3

1,2

1,2

Acute renal failure (N17)

468

407

875

0,8

0,7

0,8

Chronic renal failure (N18)

790

775

1 565

1,4

1,4

1,4

2 275

2 117

4 392

4,1

3,8

3,9

27 614

28 937

56 551

49,8

51,7

50,7

Unspecified renal failure (N19) Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99) Event of undetermined intent (Y10-Y34) Total of ill-defined

6 358

1 682

8 040

11,5

3,0

7,2

55 467

55 980

111 447

100,0

100,0

100,0

*Excluding deaths with unspecified sex.

The high proportion of deaths classified under symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (over 50%) is further analysed to review trends (1997–2014) in reporting this group. Figure C.2 shows that over the years 1997 to 2014, the percentage of deaths classified as ill-defined causes ranged between 12% and 14%. The lowest proportion of 12,3% was recorded in 1999 and the highest proportion of 13,9% was recorded in 2007. The proportion fluctuated between 2008 and 2009, after which it remained around 13,6% from 2010 to 2012. In 2013, the proportion of deaths assigned to the ill-defined group decreased to 12,7%, and then further decreased to 12,5% for 2014 registered deaths.

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Figure C2: Percentage distribution of deaths assigned to symptoms, signs and abnormal clinical and laboratory findings not elsewhere classified and year of death 1997–2014*

*Data for 1997–2013 have been updated with late registrations/delayed death notification forms processed in 2014/2015.

Assessment framework for death registration data This statistical release adopts the assessment framework proposed by Mahapatra et al. (2007) to assess the quality of the 2014 death registration data received from the civil registration system. The framework proposed two categories, namely general vital statistics and causes-of-death statistics. Both categories measure quality in terms of level of accuracy, relevance, comparability, timeliness and accessibility. The results of the Mahapatra et al. 2007 assessment framework for the 2014 mortality and causes of death data from the South African civil registration system are shown in Table C.4 and Table C.5. Table C.4 shows the percentage of key variables with unknown or unspecified information and forms part of the accuracy criteria in the assessment framework for the years 2013 and 2014. The unknown cases refer to cases where more than one option was selected on the form or where the information could not be classified according to specified categories while unspecified cases refer to missing data for that variable. For the selected variables shown in table C.4, there has been no major improvements with the exception of population group which improved from 17,3% in 2013 to 12,7% in 2014. For the variables that have been well reported over time, in 2014, less than 1% of deaths had unknown or unspecified information for age of deceased (0,3%), sex of deceased (0,4%) and province of death occurrence (0,3%). A notable decrease in missing information was observed for province of usual residence from 1,8% in 2013 to 1,2% in 2014. The information on province of birth occurrence was not well reported as 18,0 of the variable had missing information. Missing information for marital status was 15,5% in 2014. The 2014 results further indicate that 12,7% of the deaths had unknown or unspecified information on population group, down from 13,5% in 2013. This variable has been improving in the recent years considering that over the period 1997 to 2010 missing information on this variable was constant at around 25%.

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In this release, no analyses were undertaken for all variables where more than half of the deaths had unknown or unspecified information. In 2014, occupation (70,8%), industry (52,5%) and pregnancy status (79,5%) remained the three variables with over half or the information classified as unknown or unspecified. However, a dataset containing unit records on mortality and causes of death 2014, which include variables not covered in this release due to poor reporting, is available on request from Stats SA. In addition, for the accuracy dimension Table C.5 indicates that 94% of adult (15 years and older) death registrations were reported for the 2007–2011 intercensal period. The table also shows that the relevance and comparability of general vital statistics is regarded as complete. The table further shows that for causes-of-death-statistics about half (48,0%) of the 2014 deaths occurred within a health care facility. This approximates the percentage of deaths whose causes are more likely to be detailed enough for the underlying cause to be derived. Cause-of-death-statistics are regarded as completely relevant as they are based on routine tabulations by sex and five year age groups as well as the fact that tabulation of cause-of-death information is provided for the nine provinces and 52 district municipalities in the country. The tools used in coding causes of death (International Classification of Diseases 10th revision) for 2014 and the variables analysed were similar to those in previous years. Therefore, comparability over time and with other countries is also regarded as complete. The 2014 deaths show that 12,5% of all deaths were assigned to ill-defined causes. Mahapatra et al. (2007) propose that at most 10% of cause-of-death statistics should be assigned to symptoms, signs and abnormal clinical and laboratory findings not elsewhere classified categories. Despite not meeting this threshold, the ill-defined causes slightly improved from 12,7% in 2013. The table further shows that processing 2014 data on causes of death took 9 months and the mean time from end of reference period to publication was 11 months. Shorter processing time ensures that the mean time from end of reference period to publication is reduced which in turn improves timeliness. In terms of meeting user needs there is wide accessibility to the statistical release and datasets published on mortality and causes of death. The data published on this release are available in a wide range of formats and can be accessed through Stats SA website and also by making use of Stats SA User Information Services. Table C4: Percentage of deaths classified as unknown/unspecified for selected variables, 2013–2014 Applicable group

Percentage unknown or Unspecified (2013)

Percentage unknown or Unspecified (2014)

Sex

All

0,4

0,4

Age

All

0,4

0,3

Province of death occurrence

All

0,2

0,3

Province of usual residence of deceased

All

1,8

1,2

Province of birth

All

13,5

18,0

Population group

All

17,3

12,7

All

22,9

23,4

All

29,6

31,3

All

15,9

15,5

Aged 16 and older

35,5

34,4

Variables

Place or institution of death occurrence Method used to ascertain cause of death Marital Status Smoking status Education

Aged 6 and older

44,9

48,5

Aged 15 and older

70,9

70,8

Industry

Aged 15 and older (economically active)

53,5

52,5

Pregnancy status

Females aged 10–55

78,3

79,5

Occupation

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Published on the web and with compact disc, and available on request Email: [email protected] / Tel: 012 310 8600 / Fax 012 310 8500 and 012 310 8495

Metadata

Availability of user service

Coding causes of death using the tenth revision at 4/5-digit level

100%

9 provinces and 52 district/metropolitan municipalities

100%

12,5%

48,0%

Measure

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Mortality,5nd causes of death in South Africa, 2014: Findings from death notification

Two: website and compact discs

Accessibility Media - number of formats in which data are released

*Based on the framework proposed by Mahapatra et al. (2007)

11 months

Mean time from end of reference period to publication

ICD coding for certification and coding of causes of deaths, revision used and code level to which tabulations are published

9 months

100%

Uniformity of definitions across areas

Comparability Consistency of cause-specific mortality proportions over consecutive years

Number of cause-of-death tabulation areas

Timeliness Processing time

100%

100%

Comparability Stability of key definitions over time

Deaths in children under five years tabulated by 0 and 1–4-year age group

Relevance Routine tabulation by sex and five year age groups

100%

Relevance Routine tabulations by sex and five year age groups

Accuracy Proportion of deaths that occurred in healthcare facilities

Criteria and indicators

Proportion of deaths assigned to symptoms and signs of disease not elsewhere classified (R00-R99)

94%

Measure

Cause-of-death statistics

Missing data See Table 2.4

Accuracy Completeness of death registration for adults (2007–2011)

Criteria and indicators

General vital statistics

Table C5: Assessment of the 2014 South African death statistics from civil registration system using the framework proposed by Mahapatra et al. (2007)

Statistics South Africa

1 547

3 777

8 181

10 938

11 854

11 998

11 801

12 245

11 324

12 672

11 201

12 485

11 296

11 209

6 605

3 954

2 029

3 113

10–14

15–19

20–24

25–29

30–34

35–39

40–44

45–49

50–54

55–59

60–64

65–69

70–74

75–79

80–84

85–89

90+

Unspecified

139 702

2 366

4 732

6 919

8 784

12 343

10 065

11 049

9 298

7 937

6 254

6 383

6 425

6 884

7 211

7 460

5 467

2 479

1 195

1 254

3 651

11 546

Female

1997

1 049

106

13

25

32

45

49

49

50

46

30

52

37

52

51

44

53

23

20

17

52

203

Unsp.

317 727

5 585

6 774

10 898

15 421

23 597

21 410

23 583

20 549

20 655

17 608

18 680

18 263

18 934

19 116

18 442

13 701

6 279

2 762

2 977

7 755

24 738

Total

200 627

2 822

2 363

4 261

7 883

11 430

12 747

13 259

12 441

13 945

13 025

14 208

13 962

14 627

14 389

13 091

8 799

4 110

1 695

1 780

4 861

14 929

Male

68

1998

163 902

2 099

5 564

7 807

11 045

12 485

11 800

12 461

10 002

8 890

7 220

7 695

7 944

8 950

9 742

9 890

6 927

2 909

1 288

1 435

4 489

13 260

Female

*Data for 1997–1999 have been updated with late registrations/delayed death notification forms processed in 2014/2015

176 976

1 706

5–9

Total

4 052

12 989

Male

1–4

0

Age group

Appendix D: Number of deaths by age, sex and year of death, 1997–1999*

Statistics South Africa

366 477

5 117

7 956

12 103

18 977

24 002

24 600

25 804

22 503

22 943

20 324

21 992

22 001

23 675

24 261

23 093

15 838

7 082

3 006

3 251

9 446

28 503

Total

206 145

1 491

2 211

4 451

7 604

10 704

12 863

12 843

12 701

14 089

13 896

15 002

15 239

16 474

16 314

13 904

8 651

4 356

1 650

1 897

5 070

14 735

Male

174 289

1 112

5 382

7 946

11 324

11 588

12 256

12 324

10 053

8 687

7 773

8 535

8 943

10 840

12 302

12 669

8 308

3 335

1 306

1 509

4 639

13 458

Female

2 096

112

30

51

73

63

71

91

85

84

81

102

91

111

121

141

107

89

23

34

98

438

Unsp.

382 530

2 715

7 623

12 448

19 001

22 355

25 190

25 258

22 839

22 860

21 750

23 639

24 273

27 425

28 737

26 714

17 066

7 780

2 979

3 440

9 807

28 631

Total

Mortality,5nd causes of death in South Africa, 2014: Findings from death notification

1 948

196

29

35

49

87

53

84

60

108

79

89

95

98

130

112

112

63

23

36

96

314

Unsp.

1999

P0309.3

1 723

4 321

8 881

15 088

18 512

18 567

17 164

16 136

15 307

13 959

14 262

12 605

13 126

10 358

8 492

4 683

2 531

1 189

10–14

15–19

20–24

25–29

30–34

35–39

40–44

45–49

50–54

55–59

60–64

65–69

70–74

75–79

80–84

85–89

90+

Unspecified

195 993

894

6 530

8 230

12 648

11 541

14 148

12 076

11 263

8 880

9 114

9 583

11 046

13 641

15 842

15 761

9 910

3 491

1 338

1 597

4 930

13 530

Female

2000

1 752

145

31

27

32

48

67

53

69

75

67

80

82

97

110

106

88

72

36

29

86

352

Unsp.

417 042

2 228

9 092

12 940

21 172

21 947

27 341

24 734

25 594

22 914

24 488

25 799

28 292

32 305

34 464

30 955

18 879

7 884

3 097

3 625

10 403

28 889

Total

237 410

1 054

3 027

4 584

9 170

10 861

14 058

13 030

15 133

14 599

16 941

17 944

19 383

21 132

20 942

16 877

8 946

4 482

1 750

2 126

5 890

15 481

Male

69

2001

216 979

788

7 165

8 372

13 929

12 057

15 136

12 822

12 079

9 137

10 161

10 962

12 905

15 896

18 783

19 348

10 965

3 916

1 467

1 708

5 308

14 075

Female

*Data for 2000–2002 have been updated with late registrations/delayed death notification forms processed in 2014/2015

219 297

1 999

5–9

Total

5 387

15 007

Male

1–4

0

Age group

Appendix D1: Number of deaths by age, sex and year of death, 2000–2002*

Statistics South Africa

456 054

1 943

10 220

12 987

23 146

22 979

29 254

25 917

27 279

23 802

27 176

28 968

32 383

37 129

39 837

36 335

19 997

8 461

3 239

3 863

11 276

29 863

Total

257 748

1 139

3 295

4 379

9 551

11 111

13 802

13 758

16 197

15 429

18 642

19 316

21 622

24 111

23 932

18 659

9 583

4 740

1 868

2 404

6 325

17 885

Male

243 430

791

7 667

8 318

14 205

12 841

15 481

13 295

12 713

10 016

11 259

12 687

15 535

19 490

23 585

23 386

12 518

4 294

1 488

1 964

5 693

16 204

Female

1 982

114

33

34

60

71

62

65

82

71

103

112

117

129

153

136

112

60

24

17

87

340

Unsp.

503 160

2 044

10 995

12 731

23 816

24 023

29 345

27 118

28 992

25 516

30 004

32 115

37 274

43 730

47 670

42 181

22 213

9 094

3 380

4 385

12 105

34 429

Total

Mortality,5nd causes of death in South Africa, 2014: Findings from death notification

1 665

101

28

31

47

61

60

65

67

66

74

62

95

101

112

110

86

63

22

29

78

307

Unsp.

2002

P0309.3

2 003

4 840

10 355

20 052

27 540

26 471

24 786

22 083

20 622

17 226

17 409

14 680

14 486

12 080

9 453

5 438

3 382

1 680

10–14

15–19

20–24

25–29

30–34

35–39

40–44

45–49

50–54

55–59

60–64

65–69

70–74

75–79

80–84

85–89

90+

Unspecified

271 763

957

8 157

10 204

13 708

14 131

16 397

13 894

13 318

10 999

12 897

14 493

18 471

22 698

28 186

26 292

14 211

4 562

1 643

2 204

6 290

18 051

Female

2003

2 016

215

18

37

39

56

57

53

58

49

68

90

122

114

145

153

105

70

25

28

79

435

Unsp.

558 258

2 852

11 557

15 679

23 200

26 267

30 940

28 627

30 785

28 274

33 587

36 666

43 379

49 283

55 871

46 497

24 671

9 472

3 671

5 011

13 513

38 456

Total

292 290

1 935

3 292

5 040

8 652

11 820

13 451

15 223

16 987

18 086

21 136

23 119

26 510

28 258

28 484

19 834

10 379

4 689

2 142

3 191

8 272

21 790

Male

2004

284 283

931

7 481

9 478

11 965

14 089

15 431

13 810

13 407

12 036

14 117

16 273

20 599

25 201

30 689

27 614

15 108

4 624

1 780

2 803

7 638

19 209

Female

70

Data for 2003-2005 have been updated with late registrations/delayed death notification forms processed in 2014/2015

284 479

2 779

5–9

Total

7 144

19 970

Male

1–4

0

Age group

Appendix D2: Number of deaths by age, sex and year of death, 2003–2005*

Statistics South Africa

1 644

246

14

19

21

15

26

26

31

33

47

67

70

88

79

112

78

42

13

13

71

533

Unsp.

301 452

1 977

3 290

5 454

8 438

12 223

12 916

16 376

16 850

19 719

21 532

24 470

27 501

29 443

28 830

19 335

10 495

4 776

2 149

3 367

8 232

24 079

Male

296 077

1 082

7 887

10 346

11 840

15 920

15 088

15 191

13 250

13 318

14 968

17 405

21 497

26 294

31 313

27 300

14 891

4 548

1 858

2 804

7 323

21 954

Female

1 738

223

15

17

21

35

35

37

34

47

57

79

86

101

107

108

90

53

17

21

80

475

Unsp.

599 267

3 282

11 192

15 817

20 299

28 178

28 039

31 604

30 134

33 084

36 557

41 954

49 084

55 838

60 250

46 743

25 476

9 377

4 024

6 192

15 635

46 508

Total

Mortality,5nd causes of death in South Africa, 2014: Findings from death notification

578 217

3 112

10 787

14 537

20 638

25 924

28 908

29 059

30 425

30 155

35 300

39 459

47 179

53 547

59 252

47 560

25 565

9 355

3 935

6 007

15 981

41 532

Total

2005

P0309.3

2 387

4 852

10 878

19 030

28 917

29 529

28 156

25 188

22 829

20 675

17 086

17 769

13 607

12 741

8 957

6 155

3 567

10–14

15–19

20–24

25–29

30–34

35–39

40–44

45–49

50–54

55–59

60–64

65–69

70–74

75–79

80–84

85–89

90+

310 145

302 097

357

8 720

12 036

12 354

17 029

15 616

15 826

13 357

14 200

15 640

17 980

21 899

26 151

31 084

26 225

14 834

4 606

1 920

2 554

7 591

22 118

Female

2006

1 772

146

9

12

21

25

27

25

26

42

42

45

79

80

96

86

98

39

15

17

117

725

Unsp.

614 014

1 372

12 296

18 203

21 332

29 795

29 250

33 620

30 469

34 917

38 511

43 213

50 134

55 760

60 097

45 341

25 810

9 497

4 322

5 602

16 112

48 361

Total

308 590

821

3 687

6 374

8 928

12 615

13 856

18 003

17 532

21 483

22 963

24 950

27 175

29 491

28 462

18 556

10 944

4 894

2 250

2 882

7 843

24 881

Male

71

2007

296 341

344

8 801

12 228

12 950

17 107

15 874

15 879

13 512

14 658

15 688

17 961

21 272

24 960

29 230

24 676

13 795

4 217

1 911

2 506

7 056

21 716

Female

Data for 2006–2008 have been updated with late registrations/delayed death notification forms processed in 2014/2015

Total

869

3 031

5–9

Unspecified

8 404

25 518

Male

1–4

0

Age group

Appendix D3: Number of deaths by age, sex and year of death, 2006–2008*

Statistics South Africa

605 949

1 277

12 500

18 604

21 882

29 726

29 738

33 891

31 055

36 164

38 668

42 954

48 496

54 501

57 761

43 303

24 791

9 126

4 163

5 392

14 946

47 011

Total

305 736

742

3 996

6 005

9 063

12 624

14 194

18 117

17 804

21 677

22 843

24 892

26 174

29 220

26 903

18 514

10 748

4 868

2 234

2 740

8 233

24 145

Male

291 162

262

9 576

11 229

13 894

17 247

15 364

15 663

13 951

15 003

15 619

17 626

20 303

24 470

27 365

23 629

12 945

4 140

1 893

2 310

7 222

21 451

Female

883

153

27

1

2

4

2

12

17

22

21

31

31

48

56

48

43

26

2

7

31

299

Unsp.

597 781

1 157

13 599

17 235

22 959

29 875

29 560

33 792

31 772

36 702

38 483

42 549

46 508

53 738

54 324

42 191

23 736

9 034

4 129

5 057

15 486

45 895

Total

Mortality,5nd causes of death in South Africa, 2014: Findings from death notification

1 018

112

12

2

4

4

8

9

11

23

17

43

49

50

69

71

52

15

2

4

47

414

Unsp.

2008

P0309.3

2 383

4 678

10 000

17 771

25 024

27 701

25 186

24 382

22 851

21 807

19 237

18 234

15 187

12 750

9 798

6 160

5 252

1 202

10–14

15–19

20–24

25–29

30–34

35–39

40–44

45–49

50–54

55–59

60–64

65–69

70–74

75–79

80–84

85–89

90+

Unspecified

282 043

373

11 677

11 242

15 145

17 810

15 965

15 747

14 414

15 147

15 601

17 375

19 208

22 418

24 241

21 715

11 841

4 149

2 072

2 041

6 098

17 764

Female

2009

1 226

198

1

2

9

9

17

16

20

29

39

44

53

57

81

68

55

25

4

6

31

462

Unsp.

582 956

1 773

16 930

17 404

24 952

30 569

31 169

33 997

33 671

36 983

38 491

41 801

44 447

50 176

49 346

39 554

21 896

8 852

4 459

4 415

12 807

39 264

Total

283 002

989

4 087

5 767

9 935

11 773

15 852

17 291

20 095

20 965

22 013

22 923

23 348

24 790

22 439

16 508

9 434

4 425

2 444

2 557

7 036

18 331

Male

72

2010

266 140

257

10 737

10 510

16 231

16 143

16 694

14 608

14 815

14 331

15 221

16 380

17 661

20 415

21 441

19 525

10 701

3 977

2 123

2 118

6 127

16 125

Female

*Data for 2009–2011 have been updated with late registrations/delayed death notification forms processed in 2014/2015

299 687

2 368

5–9

Total

6 678

21 038

Male

1–4

0

Age group

Appendix D4: Number of deaths by age, sex and year of death, 2009–2011*

Statistics South Africa

550 401

1 567

14 833

16 282

26 177

27 924

32 561

31 920

34 939

35 329

37 265

39 360

41 056

45 257

43 951

36 096

20 170

8 420

4 570

4 680

13 207

34 837

Total

265 398

1 368

4 386

5 995

9 966

11 717

16 547

17 002

20 432

20 396

21 123

20 987

20 934

22 486

19 659

14 985

8 594

4 127

2 101

2 358

5 332

14 903

Male

247 424

644

11 413

11 178

16 748

16 504

16 845

14 285

14 970

14 240

14 370

14 942

15 509

17 504

17 819

16 162

8 909

3 562

1 800

2 038

4 783

13 199

Female

2 116

593

7

13

14

18

21

26

59

54

74

68

100

114

143

145

83

25

5

9

46

499

Unsp.

514 938

2 605

15 806

17 186

26 728

28 239

33 413

31 313

35 461

34 690

35 567

35 997

36 543

40 104

37 621

31 292

17 586

7 714

3 906

4 405

10 161

28 601

Total

Mortality,5nd causes of death in South Africa, 2014: Findings from death notification

1 259

321

9

5

11

8

15

21

29

33

31

57

47

52

71

63

35

18

3

5

44

381

Unsp.

2011

P0309.3

2 246

4 108

8 414

14 591

18 106

20 670

19 725

19 218

19 815

19 942

20 145

16 980

16 189

11 985

9 938

5 782

4 290

1 486

10–14

15–19

20–24

25–29

30–34

35–39

40–44

45–49

50–54

55–59

60–64

65–69

70–74

75–79

80–84

85–89

90+

Unspecified

233 762

733

10 986

11 109

16 692

16 304

16 327

13 867

14 385

13 459

13 677

13 622

14 034

15 673

16 093

14 199

7 800

3 414

1 904

2 234

4 952

12 298

Female

2012

2 152

655

7

10

11

18

14

23

30

51

70

86

96

117

153

125

84

19

4

6

48

525

Unsp.

492 062

2 874

15 283

16 901

26 641

28 307

32 530

30 870

34 560

33 452

33 562

32 926

33 855

36 460

34 352

28 915

16 298

7 541

4 154

4 886

10 591

27 104

Total

246 967

989

4 123

5 983

9 653

12 271

16 214

16 754

20 280

19 347

19 195

18 200

18 942

18 851

17 331

13 597

8 375

4 217

1 845

1 918

4 957

13 925

Male

73

2013

224 351

417

10 941

11 836

16 747

15 938

16 449

14 054

14 673

13 424

13 378

12 906

13 300

13 965

14 338

12 239

7 056

3 085

1 520

1 571

4 315

12 199

Female

*Data for 2012-2013 have been updated with late registrations/delayed death notification forms processed in 2014/2015

256 148

2 646

5–9

Total

5 591

14 281

Male

1–4

0

Age group

Appendix D5: Number of deaths by age, sex and year of death, 2012−2014*

Statistics South Africa

473 384

1 875

15 075

17 832

26 416

28 232

32 682

30 841

35 002

32 823

32 648

31 184

32 358

32 948

31 821

25 975

15 500

7 332

3 371

3 501

9 338

26 630

Total

236 613

627

4 115

6 166

9 215

12 325

15 402

17 405

20 065

18 702

18 482

16 965

17 635

17 103

16 442

12 405

7 943

3 988

1 724

1 781

4 594

13 529

Male

214 826

197

11 316

12 370

16 344

15 710

15 897

14 294

14 754

13 256

12 873

12 039

12 225

12 569

13 213

10 530

5 948

2 995

1 361

1 353

3 964

11 618

Female

1 921

345

4

10

17

18

17

22

36

59

70

73

106

146

164

166

76

19

7

9

61

496

Unsp.

453 360

1 169

15 435

18 546

25 576

28 053

31 316

31 721

34 855

32 017

31 425

29 077

29 966

29 818

29 819

23 101

13 967

7 002

3 092

3 143

8 619

25 643

Total

Mortality,5nd causes of death in South Africa, 2014: Findings from death notification

2 066

469

11

13

16

23

19

33

49

52

75

78

116

132

152

139

69

30

6

12

66

506

Unsp.

2014

P0309.3

74

17,3

15,1

Total

4,4

6,3

2,8

19981999

9,2

12,5

6,4

19992000

9,4

10,7

8,3

20002001

10,3

12,2

8,6

20012002

11,0

11,6

10,4

20022003

3,7

4,6

2,7

20032004

3,6

4,1

3,1

20042005

2,5

2,0

2,9

20052006

-1,2

-1,9

-0,5

20062007

*Data for 1997–2013 have been updated with late registrations/delayed death notification forms processed in 2014/2015.

13,4

Female

19971998

Male

-10,0

-5,0

0,0

5,0

10,0

15,0

20,0

Appendix E: Year-to-year percentage changes in number of deaths by sex, 1997–2014*

Statistics South Africa

Percentage change

-1,3

-1,7

-0,9

20072008

-5,6

-5,6

-5,6

20092010

-6,6

-7,0

-6,2

20102011

-4,5

-5,5

-3,5

20112012

-3,8

-4,0

-3,6

20122013

-4,2

-4,2

-4,2

20132014

Mortality,5nd causes of death in South Africa, 2014: Findings from death notification

-2,5

-3,1

-2,0

20082009

P0309.3

14

13

13

12

2012

2013

2014

2

3

3

3

4

1-4

1

1

1

1

1

5-9

1

1

1

1

1

10-14

1

1

1

1

2

15-19

3

3

3

3

4

20-24

5

5

6

7

8

25-29

7

8

8

9

11

30-34

10

11

11

12

14

40-44

Age group

8

9

10

12

13

35-39

75

*Data for 2010–2013 have been updated with late registrations/delayed death notification forms processed in 2014/2015.

17

2011

0

2010

0

20

40

60

80

100

120

140

160

180

Appendix F: Age-specific death rates (ASDR) by year of death, 2010–2014*

Statistics South Africa

Deaths per 1000 population

11

12

13

14

16

45-49

14

15

15

17

18

50-54

23

24

24

26

26

60-64

28

28

29

30

32

65-69

40

43

45

47

48

70-74

58

61

63

65

67

75-79

148

153

157

166

165

80+

Mortality,5nd causes of death in South Africa, 2014: Findings from death notification

17

18

19

20

21

55-59

P0309.3

127

1997

122

1998

118

1999

112

2000 109

2001 106

2002 105

2003 102

2005 103

2006

Year of death

103

2004

76

*Data for 1997–2013 have been updated with late registrations/delayed death notification forms processed in 2014/2015

Sex ratio

90

95

100

105

110

115

120

125

130

Appendix G: Sex ratios at death by year of death, 1997–2014*

Statistics South Africa

Male deaths per 100 females

104

2007

105

2008

106

2010

107

2011

110

2012

110

2013

110

2014

Mortality,5nd causes of death in South Africa, 2014: Findings from death notification

106

2009

P0309.3

77

41 875 820 166 64 388 44 346 20 32 22 65 43 842

Western Cape

324 63 410 46 241 1 914 75 482 170 52 13 73 66 800

Eastern Cape 151 42 13 075 232 28 264 87 15 35 5 92 14 026

Northern Cape 55 130 102 31 294 114 330 702 64 42 70 44 32 947

Free State 316 652 17 97 74 391 47 631 294 103 30 186 76 764

KwaZuluNatal 82 90 296 216 131 32 472 2 036 73 265 13 119 35 793

North West 339 354 63 358 1 106 849 88 039 750 361 219 180 92 618

Gauteng 64 180 19 90 356 57 1 472 32 307 852 41 173 35 611

Mpumalanga

Province of usual residence of deceased

99 82 40 54 106 188 1 296 851 45 339 23 143 48 221

Limpopo 43 72 16 180 88 54 275 156 274 172 12 1 342

Foreign 672 721 216 219 516 553 1 370 302 494 105 228 5 396

Unspecified

95,1

1,2

1,2

0,2

0,5

0,1

0,4

0,1

0,1

3,1

4,9

Eastern Cape

Northern Cape

Free State

KwaZulu-Natal

North West

Gauteng

Mpumalanga

Limpopo

Foreign

Unspecified

Western Cape

Western Cape

Province of death occurrence

5,6

1,8

0,1

0,5

0,5

0,2

2,4

0,7

0,3

95,3

0,7

Eastern Cape

7,0

0,7

0,1

0,0

0,1

0,8

0,0

0,7

93,0

0,1

0,3

Northern Cape

3,3

9,8

0,1

0,2

0,7

0,9

0,1

94,7

0,7

0,2

0,1

Free State

14,1

4,2

0,2

0,8

0,7

0,1

94,0

0,3

0,1

1,0

0,7

KwaZuluNatal

9,0

1,8

0,6

0,2

2,1

93,0

0,2

0,7

2,1

0,1

0,2

North West

13,7

30,7

0,8

2,1

91,0

2,4

1,4

1,1

0,4

0,5

0,8

Gauteng

10,9

3,2

94,8

2,4

1,3

0,5

0,1

0,2

0,3

0,1

0,2

Limpopo

0,9

24,1

0,6

0,4

0,3

0,2

0,1

0,5

0,1

0,1

0,1

Foreign

17,3

14,7

1,0

0,9

1,4

1,6

0,7

0,7

1,5

1,1

1,5

Unspecified

100,0

100,0

100,0

100,0

100,0

100,0

100,0

100,0

100,0

100,0

100,0

Total

44 020 66 553 14 056 33 045 79 138 34 933 96 736 35 002 47 849 713 1 315 453 360

Total

P0309.3

Mortality,5nd causes of death in South Africa, 2014: Findings from death notification

13,2

5,8

1,8

92,3

1,5

0,2

0,4

0,3

0,1

0,3

0,1

Mpumalanga

Province of usual residence of deceased

Appendix H1: Percentage distribution of deaths by province of death occurrence and province of usual residence of the deceased, 2014

Western Cape Eastern Cape Northern Cape Free State KwaZulu-Natal North West Gauteng Mpumalanga Limpopo Foreign Unspecified Total

Province of death occurrence

Appendix H: Number of deaths by province of death occurrence and province of usual residence of the deceased, 2014

Statistics South Africa

78

Statistics South Africa

P0309.3

Appendix I: Number of deaths by age, province and district municipality of death occurrence, 2014 Province of death occurrence

District municipality of death occurrence Cape Winelands

65+

Unsp.

Total

215

108

1 469

2 130

2 404

7

6 333

161

255

251

0

709

7 289

7 934

10 160

38

27 127

182

77

969

1 565

2 060

1

4 854

Overberg

71

24

365

529

886

2

1 877

West Coast

77

36

619

869

973

1

2 575

Eden

20

20

155

146

203

1

545

1 786

792

11 027

13 428

16 937

50

44 020

Alfred Nzo

200

216

1 578

1 120

1 805

12

4 931

Amathole

301

310

2 831

2 910

4 750

23

11 125

Buffalo City

290

216

2 461

2 569

3 091

11

8 638

Cacadu

125

65

943

1 177

1 243

6

3 559

Chris Hani

376

251

2 463

2 342

3 292

9

8 733

Joe Gqabi

167

141

1 237

1 195

1 513

7

4 260

Nelson Mandela Bay

423

207

2 755

3 256

3 502

14

10 157

O.R.Tambo

540

709

5 059

3 261

4 412

17

13 998

Unspecified Total

29

42

295

306

479

1

1 152

2 451

2 157

19 622

18 136

24 087

100

66 553

Frances Baard

249

143

1 036

1 354

1 343

11

4 136

John Taolo Gaetsewe

300

132

801

741

677

2

2 653

48

12

196

394

502

1

1 153

Pixley ka Seme

175

93

873

966

931

3

3 041

Siyanda

181

73

816

932

859

1

2 862

23

8

70

45

65

0

211

Namakwa

Unspecified Total

976

461

3 792

4 432

4 377

18

14 056

Fezile Dabi

290

163

1 424

1 670

1 832

6

5 385

Lejweleputswa

531

202

2 182

2 273

2 036

17

7 241

Mangaung

465

236

2 561

2 691

2 913

13

8 879

Thabo Mofutsanyane

642

300

2 687

2 651

2 651

23

8 954

Xhariep

118

70

621

612

626

4

2 051

31

29

150

143

180

2

535

2 077

1 000

9 625

10 040

10 238

65

33 045

Amajuba

266

110

842

732

869

8

2 827

eThekwini

765

472

5 479

4 742

5 105

41

16 604

Unspecified Total

KwaZulu-Natal

45–64

10

Total

Free State

15–44

517

Unspecified

Northern Cape

1–14

32

City of Cape Town

Eastern Cape

0

1 189

Central Karoo

Western Cape

Age

iLembe

231

179

1 381

1 111

1 446

18

4 366

Sisonke

199

193

1 421

1 083

1 450

3

4 349

Ugu

348

276

2 511

1 928

2 703

16

7 782

uMgungundlovu

443

272

3 250

3 049

3 759

11

10 784

uMkhanyakude

226

159

1 150

822

1 111

3

3 471

uMzinyathi

326

176

1 377

1 197

1 424

15

4 515

uThukela

374

252

2 746

2 212

2 306

14

7 904

uThungulu

641

282

2 669

1 929

2 219

31

7 771

Zululand

494

255

1 980

1 414

1 727

11

5 881

Unspecified

100

124

882

712

1 060

6

2 884

4 413

2 750

25 688

20 931

25 179

177

79 138

Total

Mortality and causes of death in South Africa, 2014: Findings from death notification

79

Statistics South Africa

P0309.3

Appendix I: Number of deaths by age, province and district municipality of death occurrence, 2014* (concluded) Province of death occurrence

North West

Age

District municipality of death occurrence

0

1–14

15–44

45–64

65+

Unsp.

Total

Bojanala

657

388

3 274

3 206

3 724

31

11 280

Dr Kenneth Kaunda

552

242

2 251

2 484

2 445

29

8 003

Dr Ruth Segomotsi Mompati

537

293

1 440

1 474

1 735

4

5 483

Ngaka Modiri Molema

720

416

2 513

2 624

2 766

14

9 053

80

58

349

272

354

1

1 114

Total

2 546

1 397

9 827

10 060

11 024

79

34 933

City of Johannesburg

2 131

728

8 743

8 230

9 582

231

29 645

City of Tshwane

1 210

647

6 243

6 673

8 423

25

23 221

Ekurhuleni

1 676

682

7 553

6 759

6 824

64

23 558

Sedibeng

507

220

2 582

2 854

2 951

23

9 137

West Rand

483

223

2 486

2 617

2 727

40

8 576

Unspecified

Gauteng

140

113

981

637

689

39

2 599

6 147

2 613

28 588

27 770

31 196

422

96 736

Ehlanzeni

643

563

4 892

3 589

3 758

42

13 487

Gert Sibande

782

329

3 394

2 723

2 507

24

9 759

Nkangala

554

378

3 191

3 156

3 019

21

10 319

57

70

447

347

513

3

1 437

2 036

1 340

11 924

9 815

9 797

90

35 002

Capricorn

837

593

3 229

3 200

4 414

4

12 277

Greater Sekhukhune

418

408

2 539

2 403

3 471

5

9 244

Unspecified Total

Mpumalanga

Unspecified Total

Limpopo

Foreign

Mopani

816

444

2 566

2 361

2 992

11

9 190

Vhembe

563

463

2 311

2 293

3 600

31

9 261

Waterberg

348

223

1 593

1 324

1 634

10

5 132

Unspecified

162

152

718

619

1 086

8

2 745

Total

3 144

2 283

12 956

12 200

17 197

69

47 849

Total

4

8

229

259

210

3

713

*Excluding deaths with unspecified province of death occurrence.

Mortality and causes of death in South Africa, 2014: Findings from death notification

80

Statistics South Africa

P0309.3

Appendix I1: Percentage distribution of deaths by age, province and district municipality of death occurrence, 2014 Province of death occurrence

Western Cape

Eastern Cape

District municipality of death occurrence

0

1–14

15–44

45–64

65+

Unsp.

Total

Cape Winelands

3,4

1,7

23,2

33,6

38,0

0,1

100,0

Central Karoo

4,5

1,4

22,7

36,0

35,4

0,0

100,0

City of Cape Town

4,4

1,9

26,9

29,2

37,5

0,1

100,0

Eden

3,7

1,6

20,0

32,2

42,4

0,0

100,0

Overberg

3,8

1,3

19,4

28,2

47,2

0,1

100,0

West Coast

3,0

1,4

24,0

33,7

37,8

0,0

100,0

Unspecified

3,7

3,7

28,4

26,8

37,2

0,2

100,0

Total

4,1

1,8

25,0

30,5

38,5

0,1

100,0

Alfred Nzo

4,1

4,4

32,0

22,7

36,6

0,2

100,0

Amathole

2,7

2,8

25,4

26,2

42,7

0,2

100,0

Buffalo City

3,4

2,5

28,5

29,7

35,8

0,1

100,0

Cacadu

3,5

1,8

26,5

33,1

34,9

0,2

100,0

Chris Hani

4,3

2,9

28,2

26,8

37,7

0,1

100,0

Joe Gqabi

3,9

3,3

29,0

28,1

35,5

0,2

100,0

Nelson Mandela Bay

4,2

2,0

27,1

32,1

34,5

0,1

100,0

O.R.Tambo

3,9

5,1

36,1

23,3

31,5

0,1

100,0

Unspecified

2,5

3,6

25,6

26,6

41,6

0,1

100,0

Total

3,7

3,2

29,5

27,3

36,2

0,2

100,0

Frances Baard

6,0

3,5

25,0

32,7

32,5

0,3

100,0

11,3

5,0

30,2

27,9

25,5

0,1

100,0

Namakwa

4,2

1,0

17,0

34,2

43,5

0,1

100,0

Pixley ka Seme

5,8

3,1

28,7

31,8

30,6

0,1

100,0

John Taolo Gaetsewe Northern Cape

Siyanda Unspecified Total

Free State

KwaZulu-Natal

Age

6,3

2,6

28,5

32,6

30,0

0,0

100,0

10,9

3,8

33,2

21,3

30,8

0,0

100,0

6,9

3,3

27,0

31,5

31,1

0,1

100,0

Fezile Dabi

5,4

3,0

26,4

31,0

34,0

0,1

100,0

Lejweleputswa

7,3

2,8

30,1

31,4

28,1

0,2

100,0

Mangaung

5,2

2,7

28,8

30,3

32,8

0,1

100,0

Thabo Mofutsanyane

7,2

3,4

30,0

29,6

29,6

0,3

100,0

Xhariep

5,8

3,4

30,3

29,8

30,5

0,2

100,0

Unspecified

5,8

5,4

28,0

26,7

33,6

0,4

100,0

Total

6,3

3,0

29,1

30,4

31,0

0,2

100,0

Amajuba

9,4

3,9

29,8

25,9

30,7

0,3

100,0

eThekwini

4,6

2,8

33,0

28,6

30,7

0,2

100,0

iLembe

5,3

4,1

31,6

25,4

33,1

0,4

100,0

Sisonke

4,6

4,4

32,7

24,9

33,3

0,1

100,0

Ugu

4,5

3,5

32,3

24,8

34,7

0,2

100,0

uMgungundlovu

4,1

2,5

30,1

28,3

34,9

0,1

100,0

uMkhanyakude

6,5

4,6

33,1

23,7

32,0

0,1

100,0

uMzinyathi

7,2

3,9

30,5

26,5

31,5

0,3

100,0

uThukela

4,7

3,2

34,7

28,0

29,2

0,2

100,0

uThungulu

8,2

3,6

34,3

24,8

28,6

0,4

100,0

Zululand

8,4

4,3

33,7

24,0

29,4

0,2

100,0

Unspecified

3,5

4,3

30,6

24,7

36,8

0,2

100,0

Total

5,6

3,5

32,5

26,4

31,8

0,2

100,0

Mortality and causes of death in South Africa, 2014: Findings from death notification

81

Statistics South Africa

P0309.3

Appendix I1: Percentage distribution of deaths by age, province and district municipality of death occurrence, 2014 (concluded) Province of death occurrence

North West

Gauteng

Mpumalanga

Limpopo

Foreign

District municipality of death occurrence

Age 0

1–14

15–44

45–64

65+

Unsp.

Total

Bojanala

5,8

3,4

29,0

28,4

33,0

0,3

100,0

Dr Kenneth Kaunda

6,9

3,0

28,1

31,0

30,6

0,4

100,0

Dr Ruth Segomotsi Mompati

9,8

5,3

26,3

26,9

31,6

0,1

100,0

Ngaka Modiri Molema

8,0

4,6

27,8

29,0

30,6

0,2

100,0

Unspecified

7,2

5,2

31,3

24,4

31,8

0,1

100,0

Total

7,3

4,0

28,1

28,8

31,6

0,2

100,0

City of Johannesburg

7,2

2,5

29,5

27,8

32,3

0,8

100,0

City of Tshwane

5,2

2,8

26,9

28,7

36,3

0,1

100,0

Ekurhuleni

7,1

2,9

32,1

28,7

29,0

0,3

100,0

Sedibeng

5,5

2,4

28,3

31,2

32,3

0,3

100,0

West Rand

5,6

2,6

29,0

30,5

31,8

0,5

100,0

Unspecified

5,4

4,3

37,7

24,5

26,5

1,5

100,0

Total

6,4

2,7

29,6

28,7

32,2

0,4

100,0

Ehlanzeni

4,8

4,2

36,3

26,6

27,9

0,3

100,0

Gert Sibande

8,0

3,4

34,8

27,9

25,7

0,2

100,0

Nkangala

5,4

3,7

30,9

30,6

29,3

0,2

100,0

Unspecified

4,0

4,9

31,1

24,1

35,7

0,2

100,0

Total

5,8

3,8

34,1

28,0

28,0

0,3

100,0

Capricorn

6,8

4,8

26,3

26,1

36,0

0,0

100,0

Greater Sekhukhune

4,5

4,4

27,5

26,0

37,5

0,1

100,0

Mopani

8,9

4,8

27,9

25,7

32,6

0,1

100,0

Vhembe

6,1

5,0

25,0

24,8

38,9

0,3

100,0

Waterberg

6,8

4,3

31,0

25,8

31,8

0,2

100,0

Unspecified

5,9

5,5

26,2

22,6

39,6

0,3

100,0

Total

6,6

4,8

27,1

25,5

35,9

0,1

100,0

Total

0,6

1,1

32,1

36,3

29,5

0,4

100,0

Mortality and causes of death in South Africa, 2014: Findings from death notification

82

Statistics South Africa

P0309.3

Appendix J: Number of deaths by sex, province and district municipality of death occurrence, 2014* Sex Province of death occurrence

District municipality of death occurrence

Male

Female

Unspecified

Total

Sex ratio at death**

Cape Winelands

3 500

2 818

15

6 333

124

348

361

0

709

96

Central Karoo City of Cape Town Western Cape

14 926

12 118

83

27 127

123

Eden

2 633

2 212

9

4 854

119

Overberg

1 054

822

1

1 877

128

West Coast

1 469

1 101

5

2 575

133

Unspecified

325

220

545

148

24 255

19 652

113

44 020

123

2 407

2 509

15

4 931

96

Amathole

5 834

5 266

25

11 125

111

Buffalo City

4 486

4 121

31

8 638

109

Total Alfred Nzo

Eastern Cape

Cacadu

1 915

1 634

10

3 559

117

Chris Hani

4 500

4 216

17

8 733

107

Joe Gqabi

2 224

2 028

8

4 260

110

Nelson Mandela Bay

5 303

4 831

23

10 157

110

O.R.Tambo

6 962

7 007

29

13 998

99

Unspecified Total

1 152

111

66 553

106

2 137

1 973

26

4 136

108

1 405

1 246

2

2 653

113

661

490

2

1 153

135

Pixley ka Seme

1 557

1 472

12

3 041

106

Siyanda

1 507

1 350

5

2 862

112

Total

115

94

2

211

122

7 382

6 625

49

14 056

111

Fezile Dabi

2 865

2 514

6

5 385

114

Lejweleputswa

3 855

3 355

31

7 241

115

Mangaung

4 693

4 149

37

8 879

113

Thabo Mofutsanyane

4 550

4 379

25

8 954

104

Xhariep

1 103

938

10

2 051

118

Unspecified Total Amajuba

KwaZulu-Natal

4 162

Frances Baard

Unspecified

Free State

545 32 157

John Taolo Gaetsewe Namakwa Northern Cape

603 34 234

268

265

2

535

101

17 334

15 600

111

33 045

111

1 483

1 336

8

2 827

111

eThekwini

8 645

7 915

44

16 604

109

iLembe

2 197

2 144

25

4 366

102

Sisonke

2 189

2 157

3

4 349

101

Ugu

4 014

3 744

24

7 782

107

uMgungundlovu

5 504

5 253

27

10 784

105

uMkhanyakude

1 775

1 673

23

3 471

106

uMzinyathi

2 283

2 211

21

4 515

103

uThukela

4 001

3 883

20

7 904

103

uThungulu

3 970

3 775

26

7 771

105

Zululand

2 912

2 944

25

5 881

99

Unspecified

1 459

1 417

8

2 884

103

40 432

38 452

254

79 138

105

Total *Excluding deaths with unspecified province of death occurrence. ** Male deaths per 100 female deaths.

Mortality and causes of death in South Africa, 2014: Findings from death notification

83

Statistics South Africa

P0309.3

Appendix J: Number of deaths by sex, province and district municipality of death occurrence, 2014* (concluded) Province of death occurrence

North West

Male

Female

Unspecified

Total

Sex ratio at death**

Bojanala

6 068

5 171

41

11 280

117

Dr Kenneth Kaunda

4 322

3 655

26

8 003

118

Dr Ruth Segomotsi Mompati

2 896

2 569

18

5 483

113

Ngaka Modiri Molema

4 857

4 156

40

9 053

117

Unspecified

Gauteng

626

483

5

1 114

130

Total

18 769

16 034

130

34 933

117

City of Johannesburg

15 658

13 654

333

29 645

115

City of Tshwane

12 067

11 045

109

23 221

109

Ekurhuleni

12 322

11 064

172

23 558

111

Sedibeng

4 930

4 156

51

9 137

119

West Rand

4 696

3 805

75

8 576

123

Unspecified

1 513

1 035

51

2 599

146

Total

Mpumalanga

51 186

44 759

791

96 736

114

Ehlanzeni

6 899

6 536

52

13 487

106

Gert Sibande

5 116

4 624

19

9 759

111

Nkangala

5 490

4 785

44

10 319

115

739

692

6

1 437

107

18 244

16 637

121

35 002

110

Capricorn

6 202

6 055

20

12 277

102

Greater Sekhukhune

4 486

4 745

13

9 244

95

Unspecified Total

Limpopo

Mopani

4 507

4 657

26

9 190

97

Vhembe

4 394

4 838

29

9 261

91

Waterberg

2 677

2 440

15

5 132

110

Unspecified

1 367

1 367

11

2 745

100

23 633

24 102

114

47 849

98

447

264

2

713

169

Total Foreign

Sex

District municipality of death occurrence

Unspecified

*Excluding deaths with unspecified province of death occurrence. ** Male deaths per 100 female deaths

Mortality and causes of death in South Africa, 2014: Findings from death notification

84

Statistics South Africa

P0309.3

Appendix K: All underlying causes of death, 2014 Causes of death (based on the 10th revision, International Classification of Disease, 1992)

Number

Percentage

All causes

453 360

100,0

Ill-defined and unknown causes of mortality (R95-R99)

54 152

11,9

Tuberculosis (A15-A19)

37 878

8,4

Other external causes of accidental injury (W00-X59)

26 056

5,7

Cerebrovascular diseases (I60-I69)

23 088

5,1

Diabetes mellitus (E10-E14)

22 747

5,0

Influenza and pneumonia (J09-J18)

22 036

4,9

Human immunodeficiency virus [HIV] disease (B20-B24)

21 938

4,8

Other forms of heart disease (I30-I52)

21 339

4,7

Hypertensive diseases (I10-I15)

17 770

3,9

Intestinal infectious diseases (A00-A09)

14 471

3,2

Other viral diseases (B25-B34)

13 996

3,1

Chronic lower respiratory diseases (J40-J47)

12 096

2,7

Ischaemic heart diseases (I20-I25)

10 916

2,4

Malignant neoplasms of digestive organs (C15-C26)

9 636

2,1

Event of undetermined intent (Y10-Y34)

8 176

1,8

Certain disorders involving the immune mechanism (D80-D89)

6 938

1,5

Renal failure (N17-N19)

6 848

1,5

Transport accidents (V01-V99)

5 926

1,3

Malignant neoplasms of respiratory and intrathoracic organs (C30-C39)

5 771

1,3

Other bacterial diseases (A30-A49)

5 678

1,3

Assault (X85-Y09)

5 314

1,2

Malignant neoplasms of female genital organs (C51-C58)

4 913

1,1

Other acute lower respiratory infections (J20-J22)

4 589

1,0

Diseases of liver (K70-K77)

4 173

0,9

Inflammatory diseases of the central nervous system (G00-G09)

3 810

0,8

Other diseases of the respiratory system (J95-J99)

3 803

0,8

Respiratory and cardiovascular disorders specific to the perinatal period (P20-P29)

3 717

0,8

Malignant neoplasms of ill-defined, secondary and unspecified sites (C76-C80)

3 456

0,8

Episodic and paroxysmal disorders (G40-G47)

3 207

0,7

Malignant neoplasms of breast (C50)

3 186

0,7

Metabolic disorders (E70-E90) Malignant neoplasms, stated or presumed to be primary, of lymphoid, haematopoietic and related tissue (C81-C96)

2 938

0,6

2 852

0,6

Malignant neoplasms of male genital organs (C60-C63)

2 827

0,6

General symptoms and signs (R50-R69)

2 616

0,6

Protozoal diseases (B50-B64)

2 598

0,6

Pulmonary heart disease and diseases of pulmonary circulation (I26-I28)

2 525

0,6

Diseases of oesophagus, stomach and duodenum (K20-K31)

2 095

0,5

Aplastic and other anaemias (D60-D64)

2 014

0,4

Malnutrition (E40-E46)

1 879

0,4

Complications of medical and surgical care (Y40-Y84)

1 660

0,4

Non-infective enteritis and colitis (K50-K52)

1 503

0,3

Other diseases of intestines (K55-K63)

1 471

0,3

Diseases of arteries, arterioles and capillaries (I70-I79)

1 449

0,3

Other disorders originating in the perinatal period (P90-P96)

1 346

0,3

Other respiratory diseases principally affecting the interstitium (J80-J84)

1 320

0,3

Mortality and causes of death in South Africa, 2014: Findings from death notification

85

Statistics South Africa

P0309.3

Appendix K: All underlying causes of death, 2014 (continued) Causes of death (based on the 10th revision, International Classification of Disease, 1992)

Number

Percentage

All causes

453 360

100,0

Organic, including symptomatic, mental disorders (F00-F09)

1 260

0,3

Other disorders of glucose regulation and pancreatic internal secretion (E15-E16)

1 243

0,3

Malignant neoplasms of mesothelial and soft tissue (C45-C49)

1 222

0,3

Disorders related to length of gestation and fetal growth (P05-P08)

1 217

0,3

Infections specific to the perinatal period (P35-P39)

1 212

0,3

Neoplasms of uncertain or unknown behaviour (D37-D48)

1 128

0,2

Other diseases of the digestive system (K90-K93)

1 079

0,2

Malignant neoplasms of lip, oral cavity and pharynx (C00-C14) Fetus and newborn affected by maternal factors and by complications of pregnancy, labour and delivery (P00-P04)

1 035

0,2

950

0,2

Malignant neoplasms of urinary tract (C64-C68)

947

0,2

Disorders of gallbladder, biliary tract and pancreas (K80-K87)

944

0,2

Other disorders of the nervous system (G90-G99)

849

0,2

Other degenerative diseases of the nervous system (G30-G32)

786

0,2

Cerebral palsy and other paralytic syndromes (G80-G83)

776

0,2

Lung diseases due to external agents (J60-J70)

709

0,2

Mycoses (B35-B49)

706

0,2

Arthropathies (M00-M25)

694

0,2

Sequelae of infectious and parasitic diseases (B90-B94)

693

0,2

Diseases of veins, lymphatic vessels and lymph nodes, not elsewhere classified (I80-I89)

681

0,2

Congenital malformations of the circulatory system (Q20-Q28)

661

0,1

Malignant neoplasms of skin (C43-C44)

623

0,1

Intentional self-harm (X60-X84)

585

0,1

Malignant neoplasms of eye, brain and other parts of central nervous system (C69-C72)

541

0,1

Glomerular diseases (N00-N08)

501

0,1

Malignant neoplasms of independent (primary) multiple sites (C97)

486

0,1

Haemorrhagic and haematological disorders of fetus and newborn (P50-P61)

470

0,1

Mental and behavioural disorders due to psychoactive substance use (F10-F19)

450

0,1

Coagulation defects, purpura and other haemorrhagic conditions (D65-D69)

440

0,1

Other congenital malformations (Q80-Q89)

432

0,1

Systemic connective tissue disorders (M30-M36)

401

0,1

Obesity and other hyperalimentation (E65-E68)

397

0,1

Infections of the skin and subcutaneous tissue (L00-L08)

377

0,1

Other diseases of pleura (J90-J94)

365

0,1

Other diseases of urinary system (N30-N39)

354

0,1

Other obstetric conditions, not elsewhere classified (O95-O99)

350

0,1

Digestive system disorders of fetus and newborn (P75-P78)

348

0,1

Extrapyramidal and movement disorders (G20-G26)

344

0,1

Soft tissue disorders (M60-M79)

322

0,1

Chromosomal abnormalities, not elsewhere classified (Q90-Q99)

304

0,1

Chronic rheumatic heart diseases (I05-I09)

300

0,1

Disorders of thyroid gland (E00-E07)

291

0,1

Diseases of male genital organs (N40-N51)

283

0,1

Viral hepatitis (B15-B19)

282

0,1

Other disorders of kidney and ureter (N25-N29)

272

0,1

Other disorders of the skin and subcutaneous tissue (L80-L99)

271

0,1

Mortality and causes of death in South Africa, 2014: Findings from death notification

86

Statistics South Africa

P0309.3

Appendix K: All underlying causes of death, 2014 (continued) Causes of death (based on the 10th revision, International Classification of Disease, 1992)

Number

Percentage

All causes

453 360

100,0

Renal tubulo-interstitial diseases (N10-N16)

268

0,1

Congenital malformations of the nervous system (Q00-Q07)

258

0,1

Hernia (K40-K46)

231

0,1

Suppurative and necrotic conditions of lower respiratory tract (J85-J86)

221

0,0

Diseases of peritoneum (K65-K67)

218

0,0

Schizophrenia, schizotypal and delusional disorders (F20-F29) Oedema, proteinuria and hypertensive disorders in pregnancy, childbirth and the puerperium (O10-O16)

203

0,0

201

0,0

Benign neoplasms (D10-D36)

196

0,0

Systemic atrophies primarily affecting the central nervous system (G10-G13)

187

0,0

Malignant neoplasms of thyroid and other endocrine glands (C73-C75)

184

0,0

Viral infections characterized by skin and mucous membrane lesions (B00-B09)

182

0,0

Other congenital malformations of the digestive system (Q38-Q45)

173

0,0

Other and unspecified disorders of the circulatory system (I95-I99)

165

0,0

Acute upper respiratory infections (J00-J06)

149

0,0

Diseases of appendix (K35-K38)

145

0,0

Complications predominantly related to the puerperium (O85-O92)

138

0,0

Polyneuropathies and other disorders of the peripheral nervous system (G60-G64)

136

0,0

Complications of labour and delivery (O60-O75)

134

0,0

Malignant neoplasms of bone and articular cartilage (C40-C41)

133

0,0

Non-inflammatory disorders of female genital tract (N80-N98)

129

0,0

Congenital malformations and deformations of the musculoskeletal system (Q65-Q79)

127

0,0

Osteopathies and chondropathies (M80-M94)

122

0,0

Viral infections of the central nervous system (A80-A89)

117

0,0

Disorders of other endocrine glands (E20-E35)

104

0,0

Pregnancy with abortive outcome (O00-O08)

103

0,0

Diseases of myoneural junction and muscle (G70-G73)

96

0,0

Other diseases of upper respiratory tract (J30-J39)

93

0,0

Inflammatory diseases of female pelvic organs (N70-N77)

89

0,0

Urticaria and erythema (L50-L54)

85

0,0

Infections with a predominantly sexual mode of transmission (A50-A64)

84

0,0

Helminthiases (B65-B83)

83

0,0

Other diseases of blood and blood-forming organs (D70-D77)

81

0,0

Congenital malformations of the respiratory system (Q30-Q34)

81

0,0

Dorsopathies (M40-M54)

78

0,0

Conditions involving the integument and temperature regulation of fetus and newborn (P80-P83)

76

0,0

Demyelinating diseases of the central nervous system (G35-G37)

73

0,0

Congenital malformations of the urinary system (Q60-Q64)

70

0,0

Diseases of oral cavity, salivary glands and jaws (K00-K14)

69

0,0

Other infectious diseases (B99)

62

0,0

Nutritional anaemias (D50-D53)

61

0,0

Haemolytic anaemias (D55-D59)

60

0,0

Other maternal disorders predominantly related to pregnancy (O20-O29)

58

0,0

Diseases of middle ear and mastoid (H65-H75)

52

0,0

Sequelae of external causes of morbidity and mortality (Y85-Y89)

44

0,0

Other nutritional deficiencies (E50-E64)

43

0,0

Maternal care related to the fetus and amniotic cavity and possible delivery problems (O30-O48)

43

0,0

Mood [affective] disorders (F30-F39)

33

0,0

Dermatitis and eczema (L20-L30)

31

0,0

Arthropod-borne viral fevers and viral haemorrhagic fevers (A90-A99)

26

0,0

Mortality and causes of death in South Africa, 2014: Findings from death notification

87

Statistics South Africa

P0309.3

Appendix K: All underlying causes of death, 2014 (concluded) Causes of death (based on the 10th revision, International Classification of Disease, 1992)

Number

Percentage

All causes

453 360

100,0

Acute rheumatic fever (I00-I02)

25

0,0

Bullous disorders (L10-L14)

23

0,0

Disorders of breast (N60-N64)

22

0,0

Cleft lip and cleft palate (Q35-Q37)

19

0,0

Birth trauma (P10-P15)

17

0,0

Neurotic, stress-related and somatoform disorders (F40-F48)

16

0,0

Unspecified mental disorder (F99)

12

0,0

Nerve, nerve root and plexus disorders (G50-G59)

10

0,0

Transitory endocrine and metabolic disorders specific to fetus and newborn (P70-P74)

10

0,0

9

0,0

Congenital malformations of eye, ear, face and neck (Q10-Q18) Behavioural syndromes associated with physiological disturbances and physical factors (F50-F59)

8

0,0

Other spirochaetal diseases (A65-A69)

7

0,0

Rickettsioses (A75-A79)

7

0,0

In situ neoplasms (D00-D09)

7

0,0

Mental retardation (F70-F79) Behavioural and emotional disorders with onset usually occurring in childhood and adolescence (F90-F98)

6

0,0

6

0,0

Urolithiasis (N20-N23)

6

0,0

Certain zoonotic bacterial diseases (A20-A28)

5

0,0

Symptoms and signs involving the urinary system (R30-R39)

5

0,0

Disorders of sclera, cornea, iris and ciliary body (H15-H22)

4

0,0

Visual disturbances and blindness (H53-H54) Abnormal findings on examination of other body fluids, substances and tissues, without diagnosis (R83-R89)

4

0,0

4

0,0

Pediculosis, acariasis and other infestations (B85-B89)

3

0,0

Papulosquamous disorders (L40-L45)

3

0,0

Congenital malformations of genital organs (Q50-Q56)

3

0,0

Disorders of adult personality and behaviour (F60-F69)

2

0,0

Disorders of eyelid, lacrimal system and orbit (H00-H06)

2

0,0

Disorders of lens (H25-H28)

2

0,0

Glaucoma (H40-H42)

2

0,0

Disorders of skin appendages (L60-L75)

2

0,0

Other disorders of the musculoskeletal system and connective tissue (M95-M99)

2

0,0

Symptoms and signs involving the circulatory and respiratory systems (R00-R09)

2

0,0

Symptoms and signs involving the nervous and musculoskeletal systems (R25-R29)

2

0,0

Abnormal findings on examination of blood, without diagnosis (R70-R79)

2

0,0

Other diseases caused by chlamydiae (A70-A74)

1

0,0

Disorders of choroid and retina (H30-H36)

1

0,0

Disorders of ocular muscles, binocular movement, accommodation and refraction (H49-H52)

1

0,0

Diseases of external ear (H60-H62)

1

0,0

Other disorders of ear (H90-H95)

1

0,0

Radiation-related disorders of the skin and subcutaneous tissue (L55-L59)

1

0,0

Symptoms and signs involving the skin and subcutaneous tissue (R20-R23)

1

0,0

Mortality and causes of death in South Africa, 2014: Findings from death notification

88

Statistics South Africa

P0309.3

Appendix L: Detailed description of the broad groups of natural causes of death which were among the ten leading causes in 2014 Causes of death (based on ICD-10)

Number

Percentage

Intestinal infectious diseases (A00-A09) A00

Cholera (A00)

1

0,0

A01

Typhoid and paratyphoid fevers (A01)

7

0,0

A02

Other salmonella infections (A02)

A03

Shigellosis (A03)

A04

Other bacterial intestinal infections (A04)

A05

Other bacterial foodborne intoxications (A05)

A06

Amoebiasis (A06)

13

0,1

7

0,0

18

0,1

1

0,0

14

0,1

A07

Other protozoal intestinal diseases (A07)

19

0,1

A08

Viral and other specified intestinal infections (A08)

20

0,1

A09

Diarrhoea and gastroenteritis of presumed infectious origin (A09)

14 371

99,3

Total

14 471

100,0

29 524

77,9

2 182

5,8

Tuberculosis (A15-A19) A16

Respiratory tuberculosis, not confirmed bacteriologically or histologically (A16)

A17

Tuberculosis of nervous system (A17)

A18

Tuberculosis of other organs (A18)

1 287

3,4

A19

Miliary tuberculosis (A19)

4 029

10,6

779

2,1

77

0,2

37 878

100,0

14 270

65,0

830

3,8

Drug-resistant tuberculosis U51

Multidrug-resistant tuberculosis (U51)

U52

Extensively drug-resistant tuberculosis (U52) Total Human immunodeficiency virus [HIV] disease (B20-B24)

B20 B21

Human immunodeficiency virus [HIV] disease resulting in infectious and parasitic diseases (B20) Human immunodeficiency virus [HIV] disease resulting in malignant neoplasms (B21)

B22

Human immunodeficiency virus [HIV] disease resulting in other specified diseases (B22)

1 233

5,6

B23

Human immunodeficiency virus [HIV] disease resulting in other conditions (B23)

3 268

14,9

B24

Unspecified human immunodeficiency virus [HIV] disease (B24) Total

2 337

10,7

21 938

100,0

64

0,5

Other viral diseases (B25-B34) B25

Cytomegaloviral disease (B25)

B26

Mumps (B26)

1

0,0

B27

Infectious mononucleosis (B27)

1

0,0

B30

Viral conjunctivitis (B30)

B33

Other viral diseases, not elsewhere classified (B33)

B34

Viral infection of unspecified site (B34) Total

2

0,0

13 792

98,5

136

1,0

13 996

100,0

264

1,2

Diabetes mellitus (E10-E14) E10

Insulin-dependent diabetes mellitus (E10)

E11

Non-insulin-dependent diabetes mellitus (E11)

E12

Malnutrition-related diabetes mellitus (E12)

E14

Unspecified diabetes mellitus (E14)

20 999

92,3

Total

22 747

100,0

1 478

6,5

6

0,0

Mortality and causes of death in South Africa, 2014: Findings from death notification

89

Statistics South Africa

P0309.3

Appendix L: Detailed description of the broad groups of natural causes of death which were among the ten leading causes in 2014 (continued) Causes of death (based on ICD-10)

Number

Percentage

Hypertensive disease (I10-I15) I10

Essential (primary) hypertension (I10)

8 652

48,7

I11

Hypertensive heart disease (I11)

7 047

39,7

I12

Hypertensive renal disease (I12)

1 670

9,4

I13

Hypertensive heart and renal disease (I13) Total

401

2,3

17 770

100,0

Other forms of heart disease (I30-I52) I30

Acute pericarditis (I30)

I31

Other diseases of pericardium (I31)

11

0,1

106

0,5

I33

Acute and subacute endocarditis (I33)

54

0,3

I34 I35

Nonrheumatic mitral valve disorders (I34)

106

0,5

Nonrheumatic aortic valve disorders (I35)

209

1,0

I36

Nonrheumatic tricuspid valve disorders (I36)

2

0,0

I37

Pulmonary valve disorders (I37)

3

0,0

I38

Endocarditis, valve unspecified (I38)

189

0,9

I40

Acute myocarditis (I40)

I42

Cardiomyopathy (I42)

28

0,1

2 762

12,9

I44 I45

Atrioventricular and left bundle-branch block (I44)

28

0,1

Other conduction disorders (I45)

53

0,2

I46

Cardiac arrest (I46)

I47

Paroxysmal tachycardia (I47)

3 673

17,2

33

0,2

I48

Atrial fibrillation and flutter (I48)

512

2,4

I49

Other cardiac arrhythmias (I49)

I50

Heart failure (I50)

I51

Complications and ill-defined descriptions of heart disease (I51) Total

269

1,3

12 297

57,6

1 004

4,7

21 339

100,0

394

1,7

1 543

6,7

784

3,4

Cerebrovascular disease (I60-I69) I60

Subarachnoid haemorrhage (I60)

I61

Intracerebral haemorrhage (I61)

I62

Other nontraumatic intracranial haemorrhage (I62)

I63

Cerebral infarction (I63)

I64

Stroke, not specified as haemorrhage or infarction (I64)

448

1,9

18 929

82,0

I67

Other cerebrovascular diseases (I67)

654

2,8

I69

Sequelae of cerebrovascular disease (I69)

336

1,5

23 088

100,0

Total Influenza and pneumonia (J09-J18) J10

Influenza due to identified influenza virus (J10)

J11

Influenza, virus not identified (J11)

23

0,1

453

2,1

J12

Viral pneumonia, not elsewhere classified (J12)

25

0,1

J13

Pneumonia due to Streptococcus pneumoniae (J13)

5

0,0

J14

Pneumonia due to Haemophilus influenzae (J14)

1

0,0

J15

Bacterial pneumonia, not elsewhere classified (J15)

78

0,4

J18

Pneumonia, organism unspecified (J18)

21 451

97,3

Total

22 036

100,0

Mortality and causes of death in South Africa, 2014: Findings from death notification

90

Statistics South Africa

P0309.3

Appendix L: Detailed description of the broad groups of natural causes of death which were among the ten leading causes in 2014 (concluded) Causes of death (based on ICD-10)

Number

Percentage

Chronic lower respiratory diseases (J40-J47) J40

Bronchitis, not specified as acute or chronic (J40)

312

2,6

J42

Unspecified chronic bronchitis (J42)

233

1,9

J43

Emphysema (J43)

798

6,6

J44

Other chronic obstructive pulmonary disease (J44)

6 729

55,6

J45

Asthma (J45)

3 040

25,1

J46

Status asthmaticus (J46)

798

6,6

J47

Bronchiectasis (J47)

186

1,5

12 096

100,0

Total

Mortality and causes of death in South Africa, 2014: Findings from death notification

91

13 996

12 096

198 240

47 761

453 360

Human immunodeficiency virus [HIV] disease (B20-B24)

Other forms of heart disease (I30-I52)

Hypertensive diseases (I10-I15)

Intestinal infectious diseases (A00-A09)

Other viral diseases (B25-B34)

Chronic lower respiratory diseases (J40-J47)

Other natural causes

Non natural causes

All causes

5

6

7

8

9

10

Fetus and newborn affected by maternal factors and by complications of pregnancy, labour and delivery (P00-P04)

Malnutrition (E40-E46)

Other acute lower respiratory infections (J20-J22)

Haemorrhagic and haematological disorders of fetus and newborn (P50-P61)

6

7

8

9

10

470

480

866

938

1 210

1 211

Human immunodeficiency virus [HIV] disease (B20-B24)

Other viral diseases (B25-B34)

Inflammatory diseases of the central nervous system (G00-G09)

Other forms of heart disease (I30-I52)

Cerebral palsy and other paralytic syndromes (G80-G83)

Other acute lower respiratory infections (J20-J22)

5

6

7

8

9

10

212

251

268

289

341

412

686

*Including deaths due to MDR-TB and XDR-TB.

All causes

14 854

3 548

Tuberculosis (A15-A19)*

4

785

1 118

Non-natural causes

Malnutrition (E40-E46)

3

5 127

Influenza and pneumonia (J09-J18)

2

1 817

No.

25 643

Other natural causes

Intestinal infectious diseases (A00-A09)

1

South Africa both sexes, 1-14

All causes

905

Disorders related to length of gestation and fetal growth (P05-P08)

5

1 345

Non-natural causes

Infections specific to the perinatal period (P35-P39)

4

3 316

2 301

8 894

Other disorders originating in the perinatal period (P90-P96)

3

3 707

No.

17 770

21 339

21 938

22 036

Other natural causes

Intestinal infectious diseases (A00-A09)

Influenza and pneumonia (J09-J18)

2

Respiratory and cardiovascular disorders specific to the perinatal period (P20-P29)

1

South Africa, both sexes, 0

14 471

Influenza and pneumonia (J09-J18)

4

22 747

23 088

Cerebrovascular diseases (I60-I69)

Diabetes mellitus (E10-E14)

3

No. 37 878

2

South Africa, both sexes, all ages Tuberculosis (A15-A19)*

1

100,0

23,9

34,5

1,4

1,7

1,8

1,9

2,3

2,8

4,6

5,3

7,5

12,2

%

100,0

3,5

34,7

1,8

1,9

3,4

3,7

4,7

4,7

5,2

9,0

12,9

14,5

%

100,0

10,5

43,7

2,7

3,1

3,2

3,9

4,7

4,8

4,9

5,0

5,1

% 8,4

10

9

8

7

6

5

4

3

2

1

10

9

8

7

6

5

4

3

2

1

10

9

8

7

6

5

4

3

2

1

All causes

Non-natural causes

Other natural causes

Other acute lower respiratory infections (J20-J22)

Other forms of heart disease (I30-I52)

Inflammatory diseases of the central nervous system (G00-G09)

Cerebral palsy and other paralytic syndromes (G80-G83)

Other viral diseases (B25-B34)

Human immunodeficiency virus [HIV] disease (B20-B24)

Tuberculosis (A15-A19)*

Malnutrition (E40-E46)

Influenza and pneumonia (J09-J18)

Intestinal infectious diseases (A00-A09)

South Africa, males, 1-14

All causes

Non-natural causes

Other natural causes

Other acute lower respiratory infections (J20-J22)

Haemorrhagic and haematological disorders of fetus and newborn (P50-P61)

Malnutrition (E40-E46)

Fetus and newborn affected by maternal factors and by complications of pregnancy, labour and delivery (P00-P04)

Disorders related to length of gestation and fetal growth (P05-P08)

Infections specific to the perinatal period (P35-P39)

Other disorders originating in the perinatal period (P90-P96)

Influenza and pneumonia (J09-J18)

Intestinal infectious diseases (A00-A09)

Respiratory and cardiovascular disorders specific to the perinatal period (P20-P29)

South Africa, males, 0

All causes

Non natural causes

Other natural causes

Hypertensive diseases (I10-I15)

Intestinal infectious diseases (A00-A09)

Other viral diseases (B25-B34)

Chronic lower respiratory diseases (J40-J47)

Diabetes mellitus (E10-E14)

Other forms of heart disease (I30-I52)

Cerebrovascular diseases (I60-I69)

Human immunodeficiency virus [HIV] disease (B20-B24)

Influenza and pneumonia (J09-J18)

South Africa, males, all ages Tuberculosis (A15-A19)*

100,0

27,0

32,2

1,3

1,6

1,8

1,9

2,4

2,7

4,6

5,2

7,2

12,3

%

100,0

3,4

34,1

1,9

2,1

3,4

3,5

4,8

4,9

5,4

8,5

13,2

14,8

%

100,0

15,3

41,9

2,8

2,9

2,9

3,1

3,8

4,2

4,2

4,7

4,7

% 9,5

10

9

8

7

6

5

4

3

2

1

10

9

8

7

6

5

4

3

2

1

10

9

8

7

6

5

4

3

2

1

All causes

Non-natural causes

Other natural causes

Other acute lower respiratory infections (J20-J22)

Other bacterial diseases (A30-A49)

Other forms of heart disease (I30-I52)

Inflammatory diseases of the central nervous system (G00-G09)

Other viral diseases (B25-B34)

Human immunodeficiency virus [HIV] disease (B20-B24)

Tuberculosis (A15-A19)*

Malnutrition (E40-E46)

Influenza and pneumonia (J09-J18)

Intestinal infectious diseases (A00-A09)

South Africa, females, 1-14

All causes

Non-natural causes

Other natural causes

Other acute lower respiratory infections (J20-J22)

Other bacterial diseases (A30-A49)

Malnutrition (E40-E46)

Fetus and newborn affected by maternal factors and by complications of pregnancy, labour and delivery (P00-P04)

Infections specific to the perinatal period (P35-P39)

Disorders related to length of gestation and fetal growth (P05-P08)

Other disorders originating in the perinatal period (P90-P96)

Influenza and pneumonia (J09-J18)

Intestinal infectious diseases (A00-A09)

Respiratory and cardiovascular disorders specific to the perinatal period (P20-P29)

South Africa, females, 0

All causes

Non natural causes

Other natural causes

Malignant neoplasms of female genital organs (C51-C58)

Other viral diseases (B25-B34)

Intestinal infectious diseases (A00-A09)

Human immunodeficiency virus [HIV] disease (B20-B24)

Influenza and pneumonia (J09-J18)

Hypertensive diseases (I10-I15)

Other forms of heart disease (I30-I52)

Cerebrovascular diseases (I60-I69)

Diabetes mellitus (E10-E14)

South Africa, females, all ages Tuberculosis (A15-A19)*

6 678

1 347

2 482

103

108

141

145

149

190

315

357

532

809

No.

11 618

413

4 118

214

222

394

433

525

526

548

1 126

1 494

1 605

No.

214 826

11 017

98 205

4 913

7 019

7 607

10 685

10 739

11 081

11 418

13 149

13 819

No. 15 174

P0309.3

Mortality and causes of death in South Africa, 2014: Findings from death notification

8 099

2 184

2 610

109

126

142

151

191

220

370

419

584

993

No.

13 529

466

4 608

258

282

466

474

648

661

731

1 147

1 791

1 997

No.

236 613

36 307

99 026

6 670

6 795

6 913

7 300

8 914

9 872

9 908

11 160

11 203

No. 22 545

Appendix M: The ten leading underlying natural causes of death by age and sex: South Africa, 2014

Statistics South Africa

100,0

20,2

37,2

1,5

1,6

2,1

2,2

2,2

2,8

4,7

5,3

8,0

12,1

%

100,0

3,6

35,4

1,8

1,9

3,4

3,7

4,5

4,5

4,7

9,7

12,9

13,8

%

100,0

5,1

45,7

2,3

3,3

3,5

5,0

5,0

5,2

5,3

6,1

6,4

% 7,1

92

1 987

1 808

Other viral diseases (B25-B34)

Influenza and pneumonia (J09-J18)

Certain disorders involving the immune mechanism (D80-D89)

Intestinal infectious diseases (A00-A09)

Other forms of heart disease (I30-I52)

Inflammatory diseases of the central nervous system (G00-G09)

Cerebrovascular diseases (I60-I69)

Protozoal diseases (B50-B64)

3

4

5

6

7

8

9

10

6 427

12 938

4 790

4 509

Chronic lower respiratory diseases (J40-J47)

Ischaemic heart diseases (I20-I25)

Malignant neoplasms of digestive organs (C15-C26)

Tuberculosis (A15-A19)*

Intestinal infectious diseases (A00-A09)

6

7

8

9

10

4 191

*Including deaths due to MDR-TB and XDR-TB.

150 647

Non-natural causes

All causes

62 877

Other natural causes

3 375

6 596

6 607

6 732

11 781

Hypertensive diseases (I10-I15)

11 852

Influenza and pneumonia (J09-J18)

Other forms of heart disease (I30-I52)

3

5

Diabetes mellitus (E10-E14)

2

14 399

No.

127 374

4

Cerebrovascular diseases (I60-I69)

1

All provinces, both sexes, 65+

All causes

8 683

3 957

4 205

4 330

5 013

5 558

5 898

Non-natural causes

10

8 377

6 790

55 276

Malignant neoplasms of digestive organs (C15-C26)

9

No.

12 860

Other natural causes

Chronic lower respiratory diseases (J40-J47)

Other viral diseases (B25-B34)

8

Influenza and pneumonia (J09-J18)

Other forms of heart disease (I30-I52)

5

Hypertensive diseases (I10-I15)

Human immunodeficiency virus [HIV] disease (B20-B24)

4

7

Cerebrovascular diseases (I60-I69)

3

6

Diabetes mellitus (E10-E14)

2

All provinces, both sexes, 45–64

Tuberculosis (A15-A19)*

1

133 673

Non-natural causes

All causes

39 343

30 000

Other natural causes

1 715

3 073

3 256

4 132

6 267

8 480

14 106

Human immunodeficiency virus [HIV] disease (B20-B24)

2

No.

19 506

Tuberculosis (A15-A19)*

1

South Africa, both sexes, 15-44

100,0

2,8

41,7

2,2

3,0

3,2

4,4

4,4

4,5

7,8

7,9

8,6

9,6

%

100,0

6,8

43,4

3,1

3,3

3,4

3,9

4,4

4,6

5,0

5,3

6,6

10,1

%

100,0

22,4

29,4

1,3

1,4

1,5

2,3

2,4

3,1

4,7

6,3

10,6

14,6

%

10

9

8

7

6

5

4

3

2

1

10

9

8

7

6

5

4

3

2

1

10

9

8

7

6

5

4

3

2

1

All causes

Non-natural causes

Other natural causes

Malignant neoplasms of male genital organs (C60-C63)

Malignant neoplasms of digestive organs (C15-C26)

Tuberculosis (A15-A19)*

Influenza and pneumonia (J09-J18)

Ischaemic heart diseases (I20-I25)

Chronic lower respiratory diseases (J40-J47)

Hypertensive diseases (I10-I15)

Diabetes mellitus (E10-E14)

Other forms of heart disease (I30-I52)

Cerebrovascular diseases (I60-I69)

All provinces, males, 65+

All causes

Non-natural causes

Other natural causes

Other viral diseases (B25-B34)

Malignant neoplasms of digestive organs (C15-C26)

Ischaemic heart diseases (I20-I25)

Chronic lower respiratory diseases (J40-J47)

Other forms of heart disease (I30-I52)

Influenza and pneumonia (J09-J18)

Cerebrovascular diseases (I60-I69)

Diabetes mellitus (E10-E14)

Human immunodeficiency virus [HIV] disease (B20-B24)

Tuberculosis (A15-A19)*

All provinces, males, 45–64

All causes

Non-natural causes

Other natural causes

Episodic and paroxysmal disorders (G40-G47)

Cerebrovascular diseases (I60-I69)

Inflammatory diseases of the central nervous system (G00-G09)

Intestinal infectious diseases (A00-A09)

Other forms of heart disease (I30-I52)

Certain disorders involving the immune mechanism (D80-D89)

Influenza and pneumonia (J09-J18)

Other viral diseases (B25-B34)

Human immunodeficiency virus [HIV] disease (B20-B24)

Tuberculosis (A15-A19)*

South Africa, males, all ages, 15-44

%

100,0

3,3

40,9

3,5

3,8

4,3

4,6

5,1

5,8

6,1

7,1

7,2

8,2

%

100,0

8,7

41,9

3,2

3,3

3,3

3,9

4,5

4,6

4,9

4,9

5,0

11,8

%

100,0

32,9

25,1

1,1

1,3

1,3

1,9

2,1

2,5

4,0

5,2

8,8

13,8

10

9

8

7

6

5

4

3

2

1

10

9

8

7

6

5

4

3

2

1

10

9

8

7

6

5

4

3

2

1

South Africa, females, all ages, 15-44

All causes

Non-natural causes

Other natural causes

General symptoms and signs (R50-R69)

Intestinal infectious diseases (A00-A09)

Malignant neoplasms of digestive organs (C15-C26)

Chronic lower respiratory diseases (J40-J47)

Ischaemic heart diseases (I20-I25)

Influenza and pneumonia (J09-J18)

Other forms of heart disease (I30-I52)

Hypertensive diseases (I10-I15)

Diabetes mellitus (E10-E14)

Cerebrovascular diseases (I60-I69)

All provinces, females, 65+

All causes

Non-natural causes

Other natural causes

Malignant neoplasms of digestive organs (C15-C26)

Other viral diseases (B25-B34)

Malignant neoplasms of female genital organs (C51-C58)

Influenza and pneumonia (J09-J18)

Other forms of heart disease (I30-I52)

Hypertensive diseases (I10-I15)

Human immunodeficiency virus [HIV] disease (B20-B24)

Cerebrovascular diseases (I60-I69)

Tuberculosis (A15-A19)*

Diabetes mellitus (E10-E14)

All provinces, females, 45–64

All causes

Non-natural causes

Other natural causes

Inflammatory diseases of the central nervous system (G00-G09)

Protozoal diseases (B50-B64)

Malignant neoplasms of female genital organs (C51-C58)

Other forms of heart disease (I30-I52)

Intestinal infectious diseases (A00-A09)

Certain disorders involving the immune mechanism (D80-D89)

Influenza and pneumonia (J09-J18)

Other viral diseases (B25-B34)

Human immunodeficiency virus [HIV] disease (B20-B24)

Tuberculosis (A15-A19)*

85 931

2 065

35 173

1 839

2 236

2 309

2 833

3 301

3 729

7 179

7 865

8 316

9 086

No.

52 922

2 180

23 249

1 529

1 840

2 129

2 139

2 527

2 699

2 701

3 165

4 035

4 729

No.

57 480

4 983

19 762

987

1 037

1 126

1 455

1 786

2 267

3 200

4 546

7 365

8 966

No.

P0309.3

Mortality and causes of death in South Africa, 2014: Findings from death notification

64 628

2 121

26 428

2 259

2 477

2 785

2 998

3 290

3 772

3 911

4 617

4 666

5 304

No.

74 214

6 478

31 111

2 355

2 423

2 437

2 902

3 356

3 403

3 610

3 643

3 711

8 785

No.

75 516

24 826

18 939

853

944

991

1 453

1 603

1 854

3 034

3 895

6 679

10 445

No.

Appendix M: The ten leading underlying natural causes of death by age and sex: South Africa, 2014 (concluded)

Statistics South Africa

%

100,0

2,4

40,9

2,1

2,6

2,7

3,3

3,8

4,3

8,4

9,2

9,7

10,6

%

100,0

4,1

43,9

2,9

3,5

4,0

4,0

4,8

5,1

5,1

6,0

7,6

8,9

%

100,0

8,7

34,4

1,7

1,8

2,0

2,5

3,1

3,9

5,6

7,9

12,8

15,6

93

2 567

86

82

61

52

Intestinal infectious diseases (A00-A09)

Other disorders originating in the perinatal period (P90-P96)

Infections specific to the perinatal period (P35-P39)

Influenza and pneumonia (J09-J18)

Fetus and newborn affected by maternal factors and by complications of pregnancy, labour and delivery (P00-P04)

Congenital malformations of the circulatory system (Q20-Q28)

Other diseases of the respiratory system (J95-J99)

Other acute lower respiratory infections (J20-J22)

3

4

5

6

7

8

9

10

15

11

Influenza and pneumonia (J09-J18)

Other bacterial diseases (A30-A49)

Other forms of heart disease (I30-I52)

Human immunodeficiency virus [HIV] disease (B20-B24)

Malnutrition (E40-E46)

Malignant neoplasms, stated or presumed to be primary, of lymphoid, haematopoietic and related tissue (C81-C96)

Episodic and paroxysmal disorders (G40-G47)

4

5

5

7

7

9

9

306

792

Non natural causes

All causes

*Including deaths due to MDR-TB and XDR-TB.

243

Other natural causes

11

15

22

22

29

29

37

Cerebral palsy and other paralytic syndromes (G80-G83)

Tuberculosis (A15-A19)*

3

52

No.

2

Intestinal infectious diseases (A00-A09)

All Western Cape, both sexes, 1–14

1

1 786

39

Non natural causes

All causes

715

Other natural causes

50

96

105

136

142

Disorders related to length of gestation and fetal growth (P05-P08)

2

No.

222

Respiratory and cardiovascular disorders specific to the perinatal period (P20-P29)

1

All Western Cape, both sexes, Age 0

44 020

6 031

All causes

Non-natural causes

1 361

1 673

1 930

1 982

2 045

2 447

2 473

2 531

15 974

Other forms of heart disease (I30-I52)

10

No.

3 006

Other natural causes

Hypertensive diseases (I10-I15)

Chronic lower respiratory diseases (J40-J47)

6

9

Ischaemic heart diseases (I20-I25)

5

Malignant neoplasms of digestive organs (C15-C26)

Tuberculosis (A15-A19)*

4

Malignant neoplasms of respiratory and intrathoracic organs (C30-C39)

Cerebrovascular diseases (I60-I69)

3

8

Human immunodeficiency virus [HIV] disease (B20-B24)

2

7

Diabetes mellitus (E10-E14)

1

Western Cape, both sexes, all ages

100,0

38,6

30,7

1,4

1,4

1,9

1,9

2,8

2,8

3,7

3,7

4,7

6,6

%

100,0

2,2

40,0

2,8

2,9

3,4

4,6

4,8

5,4

5,9

7,6

8,0

12,4

%

100,0

13,7

36,3

3,1

3,8

4,4

4,5

4,6

5,6

5,6

5,7

5,8

6,8

%

10

9

7

7

6

5

4

3

2

1

10

8

8

7

6

5

4

3

2

1

10

9

8

7

6

5

4

3

2

1

No.

All causes

Non natural causes

Other natural causes

Episodic and paroxysmal disorders (G40-G47)

Human immunodeficiency virus [HIV] disease (B20-B24)

%

100,0

42,2

28,9

1,3

1,5

1,8

1,8

2,0

2,2

3,1

3,5

5,7

6,0

%

100,0

2,0

38,7

3,2

3,3

3,3

4,4

4,6

5,4

6,3

7,1

8,8

12,8

%

100,0

20,2

32,1

2,6

2,7

4,6

4,8

5,0

5,1

5,2

5,2

5,8

6,6

10

9

7

7

6

4

4

2

2

1

10

9

8

7

6

5

4

3

2

1

10

9

8

7

6

5

4

3

2

1

Western Cape, females, all ages

No.

All causes

Non natural causes

Other natural causes

Malnutrition (E40-E46)

335

112

106

5

6

8 Inflammatory diseases of the central nervous system (G00-G09)

8 Malignant neoplasms of eye, brain and other parts of central nervous system (C69C72)

10

13

13

14

14

26

No.

867

21

361

20

22

29

39

41

46

53

60

72

103

No.

19 652

1 107

8 089

718

734

836

853

874

1 020

1 031

1 288

1 363

1 739

Human immunodeficiency virus [HIV] disease (B20-B24)

Cerebral palsy and other paralytic syndromes (G80-G83)

Other bacterial diseases (A30-A49)

Tuberculosis (A15-A19)*

Influenza and pneumonia (J09-J18)

Other forms of heart disease (I30-I52)

Intestinal infectious diseases (A00-A09)

All Western Cape, females, 1–14

All causes

Non natural causes

Other natural causes

Other acute lower respiratory infections (J20-J22)

Other diseases of the respiratory system (J95-J99)

Congenital malformations of the circulatory system (Q20-Q28)

Infections specific to the perinatal period (P35-P39)

Fetus and newborn affected by maternal factors and by complications of pregnancy, labour and delivery (P00-P04)

Influenza and pneumonia (J09-J18)

Other disorders originating in the perinatal period (P90-P96)

Disorders related to length of gestation and fetal growth (P05-P08)

Intestinal infectious diseases (A00-A09)

Respiratory and cardiovascular disorders specific to the perinatal period (P20-P29)

All Western Cape, females, Age 0

All causes

Non-natural causes

Other natural causes

Other forms of heart disease (I30-I52)

Malignant neoplasms of breast (C50)

Chronic lower respiratory diseases (J40-J47)

Tuberculosis (A15-A19)*

Malignant neoplasms of digestive organs (C15-C26)

Hypertensive diseases (I10-I15)

Ischaemic heart diseases (I20-I25)

Human immunodeficiency virus [HIV] disease (B20-B24)

Cerebrovascular diseases (I60-I69)

Diabetes mellitus (E10-E14)

P0309.3

Mortality and causes of death in South Africa, 2014: Findings from death notification

453

191

131

6

7

8

8

Other forms of heart disease (I30-I52)

9

Other bacterial diseases (A30-A49)

10

14

16

26

27

No.

900

18

348

29

30

30

Malignant neoplasms, stated or presumed to be primary, of lymphoid, haematopoietic and related tissue (C81-C96)

Malnutrition (E40-E46)

Influenza and pneumonia (J09-J18)

Tuberculosis (A15-A19)*

Intestinal infectious diseases (A00-A09)

Cerebral palsy and other paralytic syndromes (G80-G83)

All Western Cape, males, 1–14

All causes

Non natural causes

Other natural causes

Other acute lower respiratory infections (J20-J22)

Congenital malformations of the circulatory system (Q20-Q28)

Other diseases of the respiratory system (J95-J99)

40

41

Fetus and newborn affected by maternal factors and by complications of pregnancy, labour and delivery (P00-P04) Influenza and pneumonia (J09-J18)

49

57

64

79

115

No.

24 255

4 899

7 791

642

650

1 104

1 166

1 207

1 248

1 266

1 269

1 413

1 600

Other disorders originating in the perinatal period (P90-P96)

Infections specific to the perinatal period (P35-P39)

Intestinal infectious diseases (A00-A09)

Disorders related to length of gestation and fetal growth (P05-P08)

Respiratory and cardiovascular disorders specific to the perinatal period (P20-P29)

All Western Cape, males, Age 0

All causes

Non-natural causes

Other natural causes

Other forms of heart disease (I30-I52)

Hypertensive diseases (I10-I15)

Malignant neoplasms of digestive organs (C15-C26)

Cerebrovascular diseases (I60-I69)

Chronic lower respiratory diseases (J40-J47)

Malignant neoplasms of respiratory and intrathoracic organs (C30-C39)

Diabetes mellitus (E10-E14)

Human immunodeficiency virus [HIV] disease (B20-B24)

Ischaemic heart diseases (I20-I25)

Tuberculosis (A15-A19)*

Western Cape, males, all ages

Appendix M1: The ten leading underlying natural causes of death by age and sex: Western Cape, 2014

Statistics South Africa

%

100,0

33,4

31,6

1,5

1,8

2,4

2,4

3,0

3,9

3,9

4,2

4,2

7,8

%

100,0

2,4

41,6

2,3

2,5

3,3

4,5

4,7

5,3

6,1

6,9

8,3

11,9

%

100,0

5,6

41,2

3,7

3,7

4,3

4,3

4,4

5,2

5,2

6,6

6,9

8,8

94

129 127

Other viral diseases (B25-B34)

Cerebrovascular diseases (I60-I69)

Malignant neoplasms of digestive organs (C15-C26)

Other forms of heart disease (I30-I52)

Influenza and pneumonia (J09-J18)

Diabetes mellitus (E10-E14)

Ischaemic heart diseases (I20-I25)

Chronic lower respiratory diseases (J40-J47)

3

4

5

6

7

8

9

10

%

743 488

Malignant neoplasms of respiratory and intrathoracic organs (C30-C39)

Chronic lower respiratory diseases (J40-J47)

Ischaemic heart diseases (I20-I25)

Malignant neoplasms of digestive organs (C15-C26)

Cerebrovascular diseases (I60-I69)

Human immunodeficiency virus [HIV] disease (B20-B24)

Hypertensive diseases (I10-I15)

Other forms of heart disease (I30-I52)

3

4

5

6

7

8

9

10

Malignant neoplasms of digestive organs (C15-C26)

Malignant neoplasms of respiratory and intrathoracic organs (C30-C39)

Other forms of heart disease (I30-I52)

Influenza and pneumonia (J09-J18)

Malignant neoplasms of male genital organs (C60-C63)

6

7

8

9

10

416

449

844

905

1 023

1 029

*Including deaths due to MDR-TB and XDR-TB.

All causes

16 937

493

Chronic lower respiratory diseases (J40-J47)

5

1 086

Non natural causes

Hypertensive diseases (I10-I15)

4

1 504

1 579

5 836

Ischaemic heart diseases (I20-I25)

3

No.

1 773

Other natural causes

Cerebrovascular diseases (I60-I69)

2

All Western Cape, both sexes, 65+

Diabetes mellitus (E10-E14)

1

13 428

953

Non natural causes

All causes

4 575

Other natural causes

330

768

803

815

888

936

1 027

Tuberculosis (A15-A19)*

2

1 102

Diabetes mellitus (E10-E14)

1

100,0

2,9

34,5

2,5

2,7

5,0

5,3

6,0

6,1

6,4

8,9

9,3

10,5

%

100,0

7,1

34,1

2,5

3,6

5,5

5,7

6,0

6,1

6,6

7,0

7,6

8,2

%

100,0

No.

11 027

All causes

All Western Cape, both sexes, 45–64

24,7 38,4

2 723

4 229

Non natural causes

1,1

1,2

1,2

1,3

1,4

1,4

1,6

2,2

10,1

15,5

Other natural causes

126

138

150

155

178

242

1 119

Tuberculosis (A15-A19)*

2

No.

1 711

Human immunodeficiency virus [HIV] disease (B20-B24)

1

Western Cape, both sexes, 15−44

10

9

8

7

6

5

4

3

2

1

10

9

8

7

6

5

4

3

2

1

10

9

8

7

6

5

4

3

2

1

All causes

Non natural causes

Other natural causes

Tuberculosis (A15-A19)*

Other forms of heart disease (I30-I52)

Hypertensive diseases (I10-I15)

Malignant neoplasms of male genital organs (C60-C63)

Malignant neoplasms of digestive organs (C15-C26)

Malignant neoplasms of respiratory and intrathoracic organs (C30-C39)

Chronic lower respiratory diseases (J40-J47)

Cerebrovascular diseases (I60-I69)

Diabetes mellitus (E10-E14)

Ischaemic heart diseases (I20-I25)

All Western Cape, males, 65+

All causes

Non natural causes

Other natural causes

Other forms of heart disease (I30-I52)

Hypertensive diseases (I10-I15)

Cerebrovascular diseases (I60-I69)

Human immunodeficiency virus [HIV] disease (B20-B24)

Malignant neoplasms of digestive organs (C15-C26)

Diabetes mellitus (E10-E14)

Ischaemic heart diseases (I20-I25)

Chronic lower respiratory diseases (J40-J47)

Malignant neoplasms of respiratory and intrathoracic organs (C30-C39)

Tuberculosis (A15-A19)*

All Western Cape, males, 45–64

All causes

Non natural causes

Other natural causes

Influenza and pneumonia (J09-J18)

Episodic and paroxysmal disorders (G40-G47)

Chronic lower respiratory diseases (J40-J47)

Ischaemic heart diseases (I20-I25)

Cerebrovascular diseases (I60-I69)

Other forms of heart disease (I30-I52)

Other viral diseases (B25-B34)

Malignant neoplasms of digestive organs (C15-C26)

Tuberculosis (A15-A19)*

Human immunodeficiency virus [HIV] disease (B20-B24)

Western Cape, males, 15−44

%

100,0

3,3

32,0

2,5

4,3

4,9

5,3

6,6

6,8

7,4

8,2

8,8

9,9

%

100,0

9,3

30,4

2,6

2,8

5,4

5,5

6,1

6,4

7,0

7,0

8,4

9,0

%

100,0

51,6

18,7

1,0

1,0

1,1

1,2

1,2

1,2

1,4

1,4

9,5

10,8

10

9

8

7

6

5

4

3

2

1

10

9

8

7

5

5

4

3

2

1

10

9

8

7

6

5

4

3

2

1

Western Cape, females, 15−44

All causes

Non natural causes

Other natural causes

Influenza and pneumonia (J09-J18)

Malignant neoplasms of breast (C50)

Malignant neoplasms of respiratory and intrathoracic organs (C30-C39)

Chronic lower respiratory diseases (J40-J47)

Malignant neoplasms of digestive organs (C15-C26)

Other forms of heart disease (I30-I52)

Hypertensive diseases (I10-I15)

Ischaemic heart diseases (I20-I25)

Cerebrovascular diseases (I60-I69)

Diabetes mellitus (E10-E14)

All Western Cape, females, 65+

All causes

Non natural causes

Other natural causes

Ischaemic heart diseases (I20-I25)

Hypertensive diseases (I10-I15)

Malignant neoplasms of respiratory and intrathoracic organs (C30-C39)

Human immunodeficiency virus [HIV] disease (B20-B24)

Malignant neoplasms of breast (C50)

Tuberculosis (A15-A19)*

Malignant neoplasms of digestive organs (C15-C26)

Chronic lower respiratory diseases (J40-J47)

Cerebrovascular diseases (I60-I69)

Diabetes mellitus (E10-E14)

All Western Cape, females, 45–64

All causes

Non natural causes

Other natural causes

Diabetes mellitus (E10-E14)

Other forms of heart disease (I30-I52)

Certain disorders involving the immune mechanism (D80-D89)

Influenza and pneumonia (J09-J18)

Cerebrovascular diseases (I60-I69)

Malignant neoplasms of female genital organs (C51-C58)

Malignant neoplasms of breast (C50)

Other viral diseases (B25-B34)

Tuberculosis (A15-A19)*

Human immunodeficiency virus [HIV] disease (B20-B24)

9 049

234

3 003

255

301

371

449

499

506

698

726

929

1 078

No.

5 575

219

2 009

264

270

282

309

313

313

321

335

341

599

No.

3 814

519

1 230

60

61

64

65

90

102

120

141

431

931

No.

P0309.3

Mortality and causes of death in South Africa, 2014: Findings from death notification

7 882

259

2 526

197

338

388

416

522

534

580

650

695

777

No.

7 831

732

2 381

200

218

426

432

481

502

549

551

654

705

No.

7 159

3 693

1 336

71

72

76

86

87

88

98

101

679

772

No.

Appendix M1: The ten leading underlying natural causes of death by age and sex: Western Cape, 2014 (concluded)

Statistics South Africa

%

100,0

2,6

33,2

2,8

3,3

4,1

5,0

5,5

5,6

7,7

8,0

10,3

11,9

%

100,0

3,9

36,0

4,7

4,8

5,1

5,5

5,6

5,6

5,8

6,0

6,1

10,7

%

100,0

13,6

32,2

1,6

1,6

1,7

1,7

2,4

2,7

3,1

3,7

11,3

24,4

95

Other viral diseases (B25-B34)

Malignant neoplasms of digestive organs (C15-C26)

9

10

1 598

1 699

2 057

211

Respiratory and cardiovascular disorders specific to the perinatal period (P20P29)

Malnutrition (E40-E46)

Other disorders originating in the perinatal period (P90-P96)

3

4

5

Other acute lower respiratory infections (J20-J22)

Congenital malformations of the circulatory system (Q20-Q28)

8

9

10

125

Other viral diseases (B25-B34)

Other disorders of the nervous system (G90-G99)

9

10

26

29

31

*Including deaths due to MDR-TB and XDR-TB.

All causes

2 157

543

Cerebral palsy and other paralytic syndromes (G80-G83)

8

34

37

65

92

Non-natural causes

Other forms of heart disease (I30-I52)

7

128 111

858

Inflammatory diseases of the central nervous system (G00-G09)

6

No. 203

Other natural causes

Malnutrition (E40-E46)

Human immunodeficiency virus [HIV] disease (B20-B24)

Tuberculosis (A15-A19)*

3

5

Influenza and pneumonia (J09-J18)

2

4

Intestinal infectious diseases (A00-A09)

All Eastern Cape, both sexes, 1–14

1

2 451

Non-natural causes

All causes

975

Other natural causes

44

55

63

Fetus and newborn affected by maternal factors and by complications of pregnancy, labour and delivery (P00-P04)

7

70 67

Disorders related to length of gestation and fetal growth (P05-P08)

Infections specific to the perinatal period (P35-P39)

6

106

118

259

Influenza and pneumonia (J09-J18)

2

358

Intestinal infectious diseases (A00-A09)

No.

66 553

1

All Eastern Cape, both sexes, Age 0

All causes

7 243

Influenza and pneumonia (J09-J18)

8

2 353

2 569

2 971

3 043

29 897

Hypertensive diseases (I10-I15)

7

3 857

3 281

Non-natural causes

Chronic lower respiratory diseases (J40-J47)

6

No.

5 985

Other natural causes

Other forms of heart disease (I30-I52)

Diabetes mellitus (E10-E14)

Cerebrovascular diseases (I60-I69)

3

5

Human immunodeficiency virus [HIV] disease (B20-B24)

2

4

Tuberculosis (A15-A19)*

1

Eastern Cape, both sexes, all ages

100,0

25,2

39,8

1,2

1,3

1,4

1,6

1,7

3,0

4,3

5,1

5,9

9,4

%

100,0

5,1

39,8

1,8

2,2

2,6

2,7

2,9

4,3

4,8

8,6

10,6

14,6

%

100,0

10,9

44,9

2,4

2,6

3,1

3,5

3,9

4,5

4,6

4,9

5,8

9,0

%

10

9

7

7

6

5

4

3

2

1

10

9

8

7

6

5

4

3

2

1

10

9

8

7

6

5

4

3

2

1

All causes

Non-natural causes

Other natural causes

Other disorders of the nervous system (G90-G99)

Other forms of heart disease (I30-I52)

Episodic and paroxysmal disorders (G40-G47)

Inflammatory diseases of the central nervous system (G00-G09)

Cerebral palsy and other paralytic syndromes (G80-G83)

Malnutrition (E40-E46)

Human immunodeficiency virus [HIV] disease (B20-B24)

Tuberculosis (A15-A19)*

Influenza and pneumonia (J09-J18)

Intestinal infectious diseases (A00-A09)

All Eastern Cape, males, 1–14

All causes

Non-natural causes

Other natural causes

Congenital malformations of the circulatory system (Q20-Q28)

Other acute lower respiratory infections (J20-J22)

Fetus and newborn affected by maternal factors and by complications of pregnancy, labour and delivery (P00-P04)

Infections specific to the perinatal period (P35-P39)

Disorders related to length of gestation and fetal growth (P05-P08)

Other disorders originating in the perinatal period (P90-P96)

Malnutrition (E40-E46)

Respiratory and cardiovascular disorders specific to the perinatal period (P20P29)

Influenza and pneumonia (J09-J18)

Intestinal infectious diseases (A00-A09)

All Eastern Cape, males, Age 0

All causes

Non-natural causes

Other natural causes

Other viral diseases (B25-B34)

Hypertensive diseases (I10-I15)

Malignant neoplasms of digestive organs (C15-C26)

Influenza and pneumonia (J09-J18)

Diabetes mellitus (E10-E14)

Other forms of heart disease (I30-I52)

Cerebrovascular diseases (I60-I69)

Chronic lower respiratory diseases (J40-J47)

Human immunodeficiency virus [HIV] disease (B20-B24)

Tuberculosis (A15-A19)*

Eastern Cape, males, all ages

%

100,0

28,9

37,5

1,2

1,3

1,3

1,3

1,5

3,4

3,5

4,7

6,5

8,8

%

100,0

5,6

37,3

1,8

2,4

2,7

2,9

3,0

4,5

4,6

9,2

10,5

15,5

%

100,0

16,4

42,4

2,3

2,4

2,4

3,1

3,2

4,0

4,1

4,3

5,3

10,2

10

9

8

7

6

5

4

3

2

1

10

8

8

7

6

5

4

3

2

1

10

9

8

7

6

5

4

3

2

1

Eastern Cape, females, all ages

No.

All causes

Non-natural causes

Other natural causes

Other disorders of the nervous system (G90-G99)

Cerebral palsy and other paralytic syndromes (G80-G83)

Other viral diseases (B25-B34)

Other forms of heart disease (I30-I52)

Inflammatory diseases of the central nervous system (G00-G09)

Human immunodeficiency virus [HIV] disease (B20-B24)

Malnutrition (E40-E46)

Influenza and pneumonia (J09-J18)

Tuberculosis (A15-A19)*

Intestinal infectious diseases (A00-A09)

All Eastern Cape, females, 1–14

All causes

Non-natural causes

Other natural causes

958

197

402

12

13

18

19

21

23

50

51

55

97

No.

1 086

49

470

19

23 Congenital malformations of the circulatory system (Q20-Q28)

23 Fetus and newborn affected by maternal factors and by complications of pregnancy, labour and delivery (P00-P04)

27

28

44

57

81

113

152

No.

32 157

1 623

15 230

823

900

1 004

1 088

1 540

1 653

1 878

1 887

2 041

2 490

Other acute lower respiratory infections (J20-J22)

Infections specific to the perinatal period (P35-P39)

Disorders related to length of gestation and fetal growth (P05-P08)

Other disorders originating in the perinatal period (P90-P96)

Malnutrition (E40-E46)

Respiratory and cardiovascular disorders specific to the perinatal period (P20P29)

Influenza and pneumonia (J09-J18)

Intestinal infectious diseases (A00-A09)

All Eastern Cape, females, Age 0

All causes

Non-natural causes

Other natural causes

Intestinal infectious diseases (A00-A09)

Other viral diseases (B25-B34)

Influenza and pneumonia (J09-J18)

Chronic lower respiratory diseases (J40-J47)

Hypertensive diseases (I10-I15)

Other forms of heart disease (I30-I52)

Diabetes mellitus (E10-E14)

Cerebrovascular diseases (I60-I69)

Human immunodeficiency virus [HIV] disease (B20-B24)

Tuberculosis (A15-A19)*

P0309.3

Mortality and causes of death in South Africa, 2014: Findings from death notification

1 192

345

447

14

15

16

16

18

41

42

56

77

105

No.

1 318

74

492

24

31

36

38

40

59

60

121

139

204

No.

34 234

5 598

14 530

795

812

822

1 045

1 090

1 386

1 392

1 481

1 806

3 477

No.

Appendix M2: The ten leading underlying natural causes of death by age and sex: Eastern Cape, 2014

Statistics South Africa

%

100,0

20,6

42,0

1,3

1,4

1,9

2,0

2,2

2,4

5,2

5,3

5,7

10,1

%

100,0

4,5

43,3

1,7

2,1

2,1

2,5

2,6

4,1

5,2

7,5

10,4

14,0

%

100,0

5,0

47,4

2,6

2,8

3,1

3,4

4,8

5,1

5,8

5,9

6,3

7,7

96

2 622

Other viral diseases (B25-B34)

10

449

495

580

Malignant neoplasms of digestive organs (C15-C26)

Influenza and pneumonia (J09-J18)

Ischaemic heart diseases (I20-I25)

Intestinal infectious diseases (A00-A09)

7

8

9

10

*Including deaths due to MDR-TB and XDR-TB.

All causes

Non-natural causes

Other natural causes

764

Tuberculosis (A15-A19)*

6

1 589

24 087

658

11 038

398

853

1 148

1 445

Hypertensive diseases (I10-I15)

Chronic lower respiratory diseases (J40-J47)

1 660

1 790

5

3

2 164

No.

18 136

4

Other forms of heart disease (I30-I52)

Diabetes mellitus (E10-E14)

2

Cerebrovascular diseases (I60-I69)

1

All Eastern Cape, both sexes, 65+

All causes

1 287

Influenza and pneumonia (J09-J18)

9

620

651

Non-natural causes

Malignant neoplasms of digestive organs (C15-C26)

8

7 963

Hypertensive diseases (I10-I15)

7

793

842

907

1 031

1 127

1 971

No.

19 622

Other natural causes

Chronic lower respiratory diseases (J40-J47)

Other forms of heart disease (I30-I52)

4

6

Cerebrovascular diseases (I60-I69)

3

5

Diabetes mellitus (E10-E14)

Human immunodeficiency virus [HIV] disease (B20-B24)

2

Tuberculosis (A15-A19)*

1

All Eastern Cape, both sexes, 45–64

All causes

6 051

4 597

217

250

298

331

402

409

604

1 121

Non-natural causes

Inflammatory diseases of the central nervous system (G00-G09)

10

No.

2 720

Other natural causes

Episodic and paroxysmal disorders (G40-G47)

Chronic lower respiratory diseases (J40-J47)

9

Intestinal infectious diseases (A00-A09)

7

8

Influenza and pneumonia (J09-J18)

Certain disorders involving the immune mechanism (D80-D89)

4

Other forms of heart disease (I30-I52)

Other viral diseases (B25-B34)

3

6

Human immunodeficiency virus [HIV] disease (B20-B24)

2

5

Tuberculosis (A15-A19)*

1

Eastern Cape, both sexes, 15−44

100,0

2,7

45,8

1,7

2,4

3,2

3,5

4,8

6,0

6,6

6,9

7,4

9,0

%

100,0

7,1

43,9

2,5

2,7

3,4

3,6

4,4

4,6

5,0

5,7

6,2

10,9

%

100,0

23,4

30,8

1,1

1,3

1,5

1,7

2,0

2,1

3,1

5,7

13,4

13,9

%

10

9

8

7

6

5

4

3

2

1

10

9

8

7

6

5

4

3

2

1

10

9

8

7

6

5

4

3

2

1

All causes

Non-natural causes

Other natural causes

Ischaemic heart diseases (I20-I25)

Malignant neoplasms of male genital organs (C60-C63)

Influenza and pneumonia (J09-J18)

Malignant neoplasms of digestive organs (C15-C26)

Hypertensive diseases (I10-I15)

Diabetes mellitus (E10-E14)

Tuberculosis (A15-A19)*

Other forms of heart disease (I30-I52)

Chronic lower respiratory diseases (J40-J47)

Cerebrovascular diseases (I60-I69)

All Eastern Cape, males, 65+

All causes

Non-natural causes

Other natural causes

Hypertensive diseases (I10-I15)

Malignant neoplasms of respiratory and intrathoracic organs (C30-C39)

Influenza and pneumonia (J09-J18)

Malignant neoplasms of digestive organs (C15-C26)

Diabetes mellitus (E10-E14)

Other forms of heart disease (I30-I52)

Cerebrovascular diseases (I60-I69)

Human immunodeficiency virus [HIV] disease (B20-B24)

Chronic lower respiratory diseases (J40-J47)

Tuberculosis (A15-A19)*

All Eastern Cape, males, 45–64

All causes

Non-natural causes

Other natural causes

Cerebrovascular diseases (I60-I69)

Chronic lower respiratory diseases (J40-J47)

Intestinal infectious diseases (A00-A09)

Influenza and pneumonia (J09-J18)

Episodic and paroxysmal disorders (G40-G47)

Other forms of heart disease (I30-I52)

Certain disorders involving the immune mechanism (D80-D89)

Other viral diseases (B25-B34)

Human immunodeficiency virus [HIV] disease (B20-B24)

Tuberculosis (A15-A19)*

Eastern Cape, males, 15−44

%

100,0

3,3

44,5

2,7

2,8

3,4

3,7

5,0

5,7

6,6

6,9

7,2

8,1

%

100,0

9,1

43,2

2,5

2,5

2,8

3,5

4,0

4,2

4,3

5,3

5,6

13,0

%

100,0

35,1

26,1

1,1

1,3

1,3

1,7

1,8

1,9

2,5

4,5

10,2

12,5

10

9

8

7

6

5

4

3

2

1

10

9

8

7

6

5

4

3

2

1

10

9

8

7

6

5

4

3

2

1

Eastern Cape, females, 15−44

All causes

Non-natural causes

Other natural causes

Intestinal infectious diseases (A00-A09)

Ischaemic heart diseases (I20-I25)

Influenza and pneumonia (J09-J18)

Malignant neoplasms of digestive organs (C15-C26)

Tuberculosis (A15-A19)*

Chronic lower respiratory diseases (J40-J47)

Diabetes mellitus (E10-E14)

Other forms of heart disease (I30-I52)

Hypertensive diseases (I10-I15)

Cerebrovascular diseases (I60-I69)

All Eastern Cape, females, 65+

All causes

Non-natural causes

Other natural causes

Other viral diseases (B25-B34)

Malignant neoplasms of female genital organs (C51-C58)

Malignant neoplasms of digestive organs (C15-C26)

Chronic lower respiratory diseases (J40-J47)

Other forms of heart disease (I30-I52)

Hypertensive diseases (I10-I15)

Cerebrovascular diseases (I60-I69)

Human immunodeficiency virus [HIV] disease (B20-B24)

Tuberculosis (A15-A19)*

Diabetes mellitus (E10-E14)

All Eastern Cape, females, 45–64

All causes

Non-natural causes

Other natural causes

Malignant neoplasms of female genital organs (C51-C58)

Chronic lower respiratory diseases (J40-J47)

Inflammatory diseases of the central nervous system (G00-G09)

Intestinal infectious diseases (A00-A09)

Other forms of heart disease (I30-I52)

Influenza and pneumonia (J09-J18)

Certain disorders involving the immune mechanism (D80-D89)

Other viral diseases (B25-B34)

Tuberculosis (A15-A19)*

Human immunodeficiency virus [HIV] disease (B20-B24)

13 912

322

6 339

274

309

423

474

479

709

1 076

1 083

1 084

1 340

No.

7 614

328

3 375

203

224

251

256

351

391

458

470

606

701

No.

8 565

726

3 135

104

108

119

186

188

219

328

624

1 337

1 491

No.

P0309.3

Mortality and causes of death in South Africa, 2014: Findings from death notification

10 168

336

4 529

271

289

341

379

505

583

669

706

736

824

No.

10 499

958

4 533

260

263

297

369

425

441

447

560

586

1 360

No.

10 998

3 859

2 872

116

142

144

189

198

213

275

495

1 123

1 372

No.

Appendix M2: The ten leading underlying natural causes of death by age and sex: Eastern Cape, 2014 (concluded)

Statistics South Africa

%

100,0

2,3

45,6

2,0

2,2

3,0

3,4

3,4

5,1

7,7

7,8

7,8

9,6

%

100,0

4,3

44,3

2,7

2,9

3,3

3,4

4,6

5,1

6,0

6,2

8,0

9,2

%

100,0

8,5

36,6

1,2

1,3

1,4

2,2

2,2

2,6

3,8

7,3

15,6

17,4

97

490 453

Chronic lower respiratory diseases (J40-J47)

Diabetes mellitus (E10-E14)

Ischaemic heart diseases (I20-I25)

Other forms of heart disease (I30-I52)

Intestinal infectious diseases (A00-A09)

6

7

8

9

10

698

1 562

70 36

Other disorders originating in the perinatal period (P90-P96)

Fetus and newborn affected by maternal factors and by complications of pregnancy, labour and delivery (P00-P04)

Malnutrition (E40-E46)

Human immunodeficiency virus [HIV] disease (B20-B24)

Infections specific to the perinatal period (P35-P39)

Other acute lower respiratory infections (J20-J22)

4

6

7

8

9

10

87

4

Inflammatory diseases of the central nervous system (G00-G09)

Other diseases of the respiratory system (J95-J99)

8

9

9

6

6

10

11

*Including deaths due to MDR-TB and XDR-TB.

461

Metabolic disorders (E70-E90)

7

12

15

119

Cerebral palsy and other paralytic syndromes (G80-G83)

6

All causes

Other viral diseases (B25-B34)

4

15

Non-natural causes

Influenza and pneumonia (J09-J18)

4

32

52

97

Tuberculosis (A15-A19)*

3

Other natural causes

Malnutrition (E40-E46)

Human immunodeficiency virus [HIV] disease (B20-B24)

2

86

No.

Intestinal infectious diseases (A00-A09)

1

All Northern Cape, both sexes, 1–14

55 976

Non-natural causes

All causes

291

Other natural causes

19

24

31

32

70

Influenza and pneumonia (J09-J18)

Disorders related to length of gestation and fetal growth (P05-P08)

3

132 129

Intestinal infectious diseases (A00-A09)

Respiratory and cardiovascular disorders specific to the perinatal period (P20P29)

2

No.

1

All Northern Cape, both sexes, Age 0

14 056

Non-natural causes

All causes

5 669

Other natural causes

422

582

595

630

Hypertensive diseases (I10-I15)

721

1 046

Influenza and pneumonia (J09-J18)

Cerebrovascular diseases (I60-I69)

3

5

Tuberculosis (A15-A19)*

2

No. 1 188

4

Human immunodeficiency virus [HIV] disease (B20-B24)

1

Northern Cape, both sexes, all ages

100,0

25,8

21,0

1,3

1,3

2,2

2,4

2,6

3,3

3,3

6,9

11,3

18,7

%

100,0

5,6

29,8

1,9

2,5

3,2

3,3

3,7

7,2

7,2

8,9

13,2

13,5

%

100,0

11,1

40,3

3,0

3,2

3,5

4,1

4,2

4,5

5,0

5,1

7,4

8,5

%

9

9

8

7

5

5

4

3

2

1

10

9

8

6

6

5

4

3

2

1

10

9

8

7

6

5

4

3

2

1

No.

Influenza and pneumonia (J09-J18)

All causes

Non-natural causes

Other natural causes

Other forms of heart disease (I30-I52)

Certain disorders involving the immune mechanism (D80-D89)

Metabolic disorders (E70-E90)

Influenza and pneumonia (J09-J18)

Cerebral palsy and other paralytic syndromes (G80-G83)

Other viral diseases (B25-B34)

Tuberculosis (A15-A19)*

Human immunodeficiency virus [HIV] disease (B20-B24)

Malnutrition (E40-E46)

Intestinal infectious diseases (A00-A09)

All Northern Cape, males, 1–14

All causes

Non-natural causes

Other natural causes

Other acute lower respiratory infections (J20-J22)

Malnutrition (E40-E46)

Infections specific to the perinatal period (P35-P39)

%

100,0

28,4

17,2

1,3

1,3

1,7

2,6

3,0

3,0

4,7

6,0

13,8

16,8

%

100,0

4,6

29,9

2,2

2,6

2,8

3,8

3,8

7,4

7,8

9,8

12,5

12,9

%

100,0

15,3

39,1

2,5

2,7

3,0

3,4

3,9

4,3

4,6

5,0

7,6

8,4

9

9

6

6

6

5

4

3

2

1

10

9

8

7

6

5

4

3

2

1

10

9

8

7

6

5

4

3

2

1

Northern Cape, females, all ages

All causes

Non-natural causes

Other natural causes

Episodic and paroxysmal disorders (G40-G47)

Tuberculosis (A15-A19)*

Other diseases of the respiratory system (J95-J99)

Inflammatory diseases of the central nervous system (G00-G09)

Other viral diseases (B25-B34)

Metabolic disorders (E70-E90)

Influenza and pneumonia (J09-J18)

Human immunodeficiency virus [HIV] disease (B20-B24)

Malnutrition (E40-E46)

Intestinal infectious diseases (A00-A09)

All Northern Cape, females, 1–14

All causes

Non-natural causes

Other natural causes

Other bacterial diseases (A30-A49)

Infections specific to the perinatal period (P35-P39)

Human immunodeficiency virus [HIV] disease (B20-B24)

Fetus and newborn affected by maternal factors and by complications of pregnancy, labour and delivery (P00-P04)

Malnutrition (E40-E46)

Other disorders originating in the perinatal period (P90-P96)

Disorders related to length of gestation and fetal growth (P05-P08)

Influenza and pneumonia (J09-J18)

Respiratory and cardiovascular disorders specific to the perinatal period (P20P29)

Intestinal infectious diseases (A00-A09)

All Northern Cape, females, Age 0

All causes

Non-natural causes

Other natural causes

Chronic lower respiratory diseases (J40-J47)

Ischaemic heart diseases (I20-I25)

Intestinal infectious diseases (A00-A09)

Other forms of heart disease (I30-I52)

Influenza and pneumonia (J09-J18)

Diabetes mellitus (E10-E14)

Cerebrovascular diseases (I60-I69)

Hypertensive diseases (I10-I15)

Tuberculosis (A15-A19)*

Human immunodeficiency virus [HIV] disease (B20-B24)

227

53

53

4

4

5

5

5

6

9

18

20

45

No.

458

31

137

8

9

12

17

19

27

31

37

62

68

No.

6 625

419

2 752

228

236

241

250

286

360

402

409

420

622

No.

P0309.3

%

6,3

41,5

3,4

3,6

3,6

3,8

4,3

5,4

6,1

6,2

6,3

9,4

100,0

23,3

23,3

1,8

1,8

2,2

2,2

2,2

2,6

4,0

7,9

8,8

19,8

%

100,0

6,8

29,9

1,7

2,0

2,6

3,7

4,1

5,9

6,8

8,1

13,5

14,8

%

100,0

Mortality and causes of death in South Africa, 2014: Findings from death notification

232

66

40

3

3

4

6

7

7

11

14

32

39

No.

502

23

150

11

13

14

19 19

Fetus and newborn affected by maternal factors and by complications of pregnancy, labour and delivery (P00-P04)

37

39

49

Human immunodeficiency virus [HIV] disease (B20-B24)

Disorders related to length of gestation and fetal growth (P05-P08)

Other disorders originating in the perinatal period (P90-P96)

63

65

Intestinal infectious diseases (A00-A09)

No.

Respiratory and cardiovascular disorders specific to the perinatal period (P20P29)

7 382

1 130

2 889

186

203

221

254

289

318

342

367

561

622

All Northern Cape, males, Age 0

All causes

Non-natural causes

Other natural causes

Other viral diseases (B25-B34)

Other forms of heart disease (I30-I52)

Diabetes mellitus (E10-E14)

Ischaemic heart diseases (I20-I25)

Hypertensive diseases (I10-I15)

Cerebrovascular diseases (I60-I69)

Influenza and pneumonia (J09-J18)

Chronic lower respiratory diseases (J40-J47)

Human immunodeficiency virus [HIV] disease (B20-B24)

Tuberculosis (A15-A19)*

Northern Cape, males, all ages

Appendix M3: The ten leading underlying natural causes of death by age and sex: Northern Cape, 2014

Statistics South Africa

98

No.

47 42

Influenza and pneumonia (J09-J18)

Certain disorders involving the immune mechanism (D80-D89)

Cerebrovascular diseases (I60-I69)

Intestinal infectious diseases (A00-A09)

Episodic and paroxysmal disorders (G40-G47)

Diseases of liver (K70-K77)

Diabetes mellitus (E10-E14)

4

5

6

7

8

9

10

Influenza and pneumonia (J09-J18)

Hypertensive diseases (I10-I15)

Ischaemic heart diseases (I20-I25)

Malignant neoplasms of respiratory and intrathoracic organs (C30-C39)

Malignant neoplasms of digestive organs (C15-C26)

6

7

8

9

10

226

148

153

181

189

199

151 106

Ischaemic heart diseases (I20-I25)

Chronic lower respiratory diseases (J40-J47)

Other forms of heart disease (I30-I52)

Influenza and pneumonia (J09-J18)

Malignant neoplasms of digestive organs (C15-C26)

Tuberculosis (A15-A19)*

Malignant neoplasms of respiratory and intrathoracic organs (C30-C39)

4

5

6

7

8

9

10

122

*Including deaths due to MDR-TB and XDR-TB.

4 377

Non-natural causes

All causes

1 671

Other natural causes

103

183

271

289

289

315

409

Cerebrovascular diseases (I60-I69)

Diabetes mellitus (E10-E14)

3

468

No.

4 432

2

Hypertensive diseases (I10-I15)

1

All Northern Cape, both sexes, 65+

All causes

308

Diabetes mellitus (E10-E14)

5

244

1 732

Cerebrovascular diseases (I60-I69)

4

369 274

Non-natural causes

Chronic lower respiratory diseases (J40-J47)

3

No. 409

Other natural causes

Human immunodeficiency virus [HIV] disease (B20-B24)

2

All Northern Cape, both sexes, 45–64

Tuberculosis (A15-A19)*

1

3 792

951

Non-natural causes

All causes

851

Other natural causes

40

57

67

137

146

219

506

Tuberculosis (A15-A19)*

Other viral diseases (B25-B34)

3

729

2

Human immunodeficiency virus [HIV] disease (B20-B24)

1

Northern Cape, both sexes, 15−44

100,0

2,8

38,2

2,4

2,4

3,4

4,2

6,2

6,6

6,6

7,2

9,3

10,7

%

100,0

6,9

39,1

3,3

3,5

4,1

4,3

4,5

5,1

5,5

6,2

8,3

9,2

%

100,0

25,1

22,4

1,1

1,1

1,2

1,5

1,8

3,6

3,9

5,8

13,3

19,2

%

10

9

8

7

6

5

4

3

2

1

10

9

8

7

6

5

4

3

2

1

10

9

8

7

6

5

4

3

2

1

All causes

Non-natural causes

Other natural causes

Tuberculosis (A15-A19)*

Malignant neoplasms of digestive organs (C15-C26)

Influenza and pneumonia (J09-J18)

Malignant neoplasms of male genital organs (C60-C63)

Other forms of heart disease (I30-I52)

Diabetes mellitus (E10-E14)

Ischaemic heart diseases (I20-I25)

Cerebrovascular diseases (I60-I69)

Hypertensive diseases (I10-I15)

Chronic lower respiratory diseases (J40-J47)

All Northern Cape, males, 65+

All causes

Non-natural causes

Other natural causes

Malignant neoplasms of digestive organs (C15-C26)

Malignant neoplasms of respiratory and intrathoracic organs (C30-C39)

Diabetes mellitus (E10-E14)

Hypertensive diseases (I10-I15)

Ischaemic heart diseases (I20-I25)

Influenza and pneumonia (J09-J18)

Cerebrovascular diseases (I60-I69)

Chronic lower respiratory diseases (J40-J47)

Human immunodeficiency virus [HIV] disease (B20-B24)

Tuberculosis (A15-A19)*

All Northern Cape, males, 45–64

All causes

Non-natural causes

Other natural causes

Other forms of heart disease (I30-I52)

Diseases of liver (K70-K77)

Intestinal infectious diseases (A00-A09)

Episodic and paroxysmal disorders (G40-G47)

Cerebrovascular diseases (I60-I69)

Certain disorders involving the immune mechanism (D80-D89)

Influenza and pneumonia (J09-J18)

Other viral diseases (B25-B34)

Tuberculosis (A15-A19)*

Human immunodeficiency virus [HIV] disease (B20-B24)

Northern Cape, males, 15−44

%

100,0

3,2

36,1

3,7

4,4

4,6

4,9

5,2

5,3

6,7

8,1

8,5

9,2

%

100,0

8,3

37,5

3,5

3,9

4,0

4,1

4,4

4,5

4,7

6,8

7,6

10,7

%

100,0

35,6

18,5

1,0

1,0

1,4

1,5

1,9

3,0

3,8

4,9

12,5

14,9

10

9

8

7

6

5

4

3

2

1

10

9

8

7

6

5

4

3

2

1

10

8

8

6

6

5

4

3

2

1

All causes

Non-natural causes

Other natural causes

Malignant neoplasms of female genital organs (C51-C58)

Malignant neoplasms of digestive organs (C15-C26)

Intestinal infectious diseases (A00-A09)

Influenza and pneumonia (J09-J18)

Chronic lower respiratory diseases (J40-J47)

Ischaemic heart diseases (I20-I25)

Other forms of heart disease (I30-I52)

Diabetes mellitus (E10-E14)

Cerebrovascular diseases (I60-I69)

Hypertensive diseases (I10-I15)

All Northern Cape, females, 65+

All causes

Non-natural causes

Other natural causes

Other forms of heart disease (I30-I52)

Malignant neoplasms of female genital organs (C51-C58)

Ischaemic heart diseases (I20-I25)

Influenza and pneumonia (J09-J18)

Hypertensive diseases (I10-I15)

Chronic lower respiratory diseases (J40-J47)

Diabetes mellitus (E10-E14)

Cerebrovascular diseases (I60-I69)

Tuberculosis (A15-A19)*

Human immunodeficiency virus [HIV] disease (B20-B24)

All Northern Cape, females, 45–64

All causes

Non-natural causes

Other natural causes

Malignant neoplasms of female genital organs (C51-C58)

Hypertensive diseases (I10-I15)

Diabetes mellitus (E10-E14)

Cerebrovascular diseases (I60-I69)

Intestinal infectious diseases (A00-A09)

Influenza and pneumonia (J09-J18)

Certain disorders involving the immune mechanism (D80-D89)

Other viral diseases (B25-B34)

Tuberculosis (A15-A19)*

Human immunodeficiency virus [HIV] disease (B20-B24)

Northern Cape, females, 15−44

2 385

57

871

53

64

65

91

106

156

168

209

247

298

No.

1 924

99

782

61

64

72

85

86

103

126

127

141

178

No.

1 631

179

436

21

24

24

27

27

64

73

114

237

405

No.

P0309.3

Mortality and causes of death in South Africa, 2014: Findings from death notification

1 990

64

719

74

87

92

98

103

106

133

161

170

183

No.

2 504

209

940

88

97

99

103

109

113

117

171

191

267

No.

2 146

765

398

21

22

30

32

40

64

82

105

268

319

No.

Appendix M3: The ten leading underlying natural causes of death by age and sex: Northern Cape, 2014 (concluded)

Statistics South Africa

%

100,0

2,4

36,5

2,2

2,7

2,7

3,8

4,4

6,5

7,0

8,8

10,4

12,5

%

100,0

5,1

40,6

3,2

3,3

3,7

4,4

4,5

5,4

6,5

6,6

7,3

9,3

%

100,0

11,0

26,7

1,3

1,5

1,5

1,7

1,7

3,9

4,5

7,0

14,5

24,8

99

No.

1 249

1 169

Intestinal infectious diseases (A00-A09)

Other viral diseases (B25-B34)

Chronic lower respiratory diseases (J40-J47)

8

9

10

99

80

Malnutrition (E40-E46)

Infections specific to the perinatal period (P35-P39)

Other disorders originating in the perinatal period (P90-P96)

Fetus and newborn affected by maternal factors and by complications of pregnancy, labour and delivery (P00-P04)

Disorders related to length of gestation and fetal growth (P05-P08)

Congenital malformations of the circulatory system (Q20-Q28)

Other bacterial diseases (A30-A49)

4

5

6

7

7

9

10

69

Non-natural causes

Other viral diseases (B25-B34)

Human immunodeficiency virus [HIV] disease (B20-B24)

Other forms of heart disease (I30-I52)

Certain disorders involving the immune mechanism (D80-D89)

Cerebral palsy and other paralytic syndromes (G80-G83)

Other acute lower respiratory infections (J20-J22)

5

6

7

8

9

10

14

16

17

21

25

28

48

*Including deaths due to MDR-TB and XDR-TB

All causes

1 000

256

Tuberculosis (A15-A19)*

4

88

62

Non-natural causes

Malnutrition (E40-E46)

3

291

Influenza and pneumonia (J09-J18)

2

No.

134

Other natural causes

Intestinal infectious diseases (A00-A09)

All Free State, both sexes, 1–14

2 077

597

Other natural causes

40

43

80

103

141

226

3

276

Intestinal infectious diseases (A00-A09)

Influenza and pneumonia (J09-J18)

2

1

9,6

42,2

2,3

3,5

3,8

4,1

4,3

4,6

5,0

100,0

25,6

29,1

1,4

1,6

1,7

2,1

2,5

2,8

4,8

6,2

8,8

13,4

%

100,0

3,3

28,7

1,9

2,1

3,9

3,9

4,8

5,0

6,8

10,9

13,3

15,6

%

No.

323

All Free State, both sexes, Age 0

Respiratory and cardiovascular disorders specific to the perinatal period (P20P29)

1

All causes

6,8 5,3

100,0

3 165

% 8,4

33 045

Non-natural causes

All causes

13 950

Other natural causes

775

1 349

1 423

Hypertensive diseases (I10-I15)

Human immunodeficiency virus [HIV] disease (B20-B24)

7

1 516

1 653

1 749

2 262

2 785

6

Other forms of heart disease (I30-I52)

Diabetes mellitus (E10-E14)

Cerebrovascular diseases (I60-I69)

3

5

Influenza and pneumonia (J09-J18)

2

4

Tuberculosis (A15-A19)*

1

Free State, both sexes, all ages

10

8

8

7

6

5

4

3

2

1

10

9

8

7

6

5

4

3

2

1

10

9

8

7

6

5

4

3

2

1

No.

7

All causes

Non-natural causes

%

100,0

27,9

27,6

1,3

1,6

1,6

2,0

2,7

3,8

4,7

6,5

7,8

12,3

%

100,0

3,0

27,9

2,1

2,2

3,4

3,8

4,9

5,2

8,0

10,3

13,0

16,2

%

100,0

13,4

41,0

2,9

3,1

3,3

3,3

3,4

4,1

4,3

4,4

6,9

9,9

10

8

8

7

5

5

4

3

2

1

10

9

8

7

6

5

4

3

2

1

10

9

8

7

6

5

4

3

2

1

Free State, females, all ages

No.

Disorders related to length of gestation and fetal growth (P05-P08)

All causes

Non-natural causes

Other natural causes

Other bacterial diseases (A30-A49)

Cerebral palsy and other paralytic syndromes (G80-G83)

Other viral diseases (B25-B34)

Certain disorders involving the immune mechanism (D80-D89)

Other forms of heart disease (I30-I52)

Human immunodeficiency virus [HIV] disease (B20-B24)

Tuberculosis (A15-A19)*

Malnutrition (E40-E46)

Influenza and pneumonia (J09-J18)

Intestinal infectious diseases (A00-A09)

All Free State, females, 1–14

All causes

Non-natural causes

Other natural causes

Congenital malformations of the circulatory system (Q20-Q28)

Other acute lower respiratory infections (J20-J22)

440

100

136

6

7

7

9

10

10

22

24

45

64

No.

929

33

276

18

21

33

39

40

Fetus and newborn affected by maternal factors and by complications of pregnancy, labour and delivery (P00-P04) Other disorders originating in the perinatal period (P90-P96)

42

51

110

129

137

No.

15 600

825

6 672

391

596

631

647

886

906

949

980

1 057

1 060

Infections specific to the perinatal period (P35-P39)

Malnutrition (E40-E46)

Influenza and pneumonia (J09-J18)

Intestinal infectious diseases (A00-A09)

Respiratory and cardiovascular disorders specific to the perinatal period (P20-P29)

All Free State, females, Age 0

All causes

Non-natural causes

Other natural causes

Certain disorders involving the immune mechanism (D80-D89)

Other viral diseases (B25-B34)

Human immunodeficiency virus [HIV] disease (B20-B24)

Intestinal infectious diseases (A00-A09)

Hypertensive diseases (I10-I15)

Other forms of heart disease (I30-I52)

Diabetes mellitus (E10-E14)

Cerebrovascular diseases (I60-I69)

Tuberculosis (A15-A19)*

Influenza and pneumonia (J09-J18)

P0309.3

Mortality and causes of death in South Africa, 2014: Findings from death notification

551

154

152

Malignant neoplasms, stated or presumed to be primary, of lymphoid, haematopoietic and related tissue (C81-C96) Other natural causes

9

9

11

15

21

26

36

43

68

No.

1 119

34

312

24

25

38

43

55

58

89

115

145

181

No.

17 334

2 321

7 104

501

537

566

570

597

713

745

766

1 194

1 720

Other acute lower respiratory infections (J20-J22)

Cerebral palsy and other paralytic syndromes (G80-G83)

Other forms of heart disease (I30-I52)

Human immunodeficiency virus [HIV] disease (B20-B24)

Other viral diseases (B25-B34)

Tuberculosis (A15-A19)*

Malnutrition (E40-E46)

Influenza and pneumonia (J09-J18)

Intestinal infectious diseases (A00-A09)

All Free State, males, 1–14

All causes

Non-natural causes

Other natural causes

Other bacterial diseases (A30-A49)

Congenital malformations of the circulatory system (Q20-Q28)

Disorders related to length of gestation and fetal growth (P05-P08) Fetus and newborn affected by maternal factors and by complications of pregnancy, labour and delivery (P00-P04)

Other disorders originating in the perinatal period (P90-P96)

Infections specific to the perinatal period (P35-P39)

Malnutrition (E40-E46)

Influenza and pneumonia (J09-J18)

Intestinal infectious diseases (A00-A09)

Respiratory and cardiovascular disorders specific to the perinatal period (P20-P29)

All Free State, males, Age 0

All causes

Non-natural causes

Other natural causes

Chronic lower respiratory diseases (J40-J47)

Hypertensive diseases (I10-I15)

Diabetes mellitus (E10-E14)

Other viral diseases (B25-B34)

Intestinal infectious diseases (A00-A09)

Human immunodeficiency virus [HIV] disease (B20-B24)

Other forms of heart disease (I30-I52)

Cerebrovascular diseases (I60-I69)

Influenza and pneumonia (J09-J18)

Tuberculosis (A15-A19)*

Free State, males, all ages

Appendix M4: The ten leading underlying natural causes of death by age and sex: Free State, 2014

Statistics South Africa

%

100,0

22,7

30,9

1,4

1,6

1,6

2,0

2,3

2,3

5,0

5,5

10,2

14,5

%

100,0

3,6

29,7

1,9

2,3

3,6

4,2

4,3

4,5

5,5

11,8

13,9

14,7

%

100,0

5,3

42,8

2,5

3,8

4,0

4,1

5,7

5,8

6,1

6,3

6,8

6,8

100

150

Influenza and pneumonia (J09-J18)

Certain disorders involving the immune mechanism (D80-D89)

Intestinal infectious diseases (A00-A09)

Other forms of heart disease (I30-I52)

Protozoal diseases (B50-B64)

Cerebrovascular diseases (I60-I69)

Renal failure (N17-N19)

4

5

6

7

8

9

10

Hypertensive diseases (I10-I15)

7

664

Chronic lower respiratory diseases (J40-J47)

Intestinal infectious diseases (A00-A09)

Malignant neoplasms of digestive organs (C15-C26)

Tuberculosis (A15-A19)*

6

7

8

9

10

263

276

294

428

465

672

*Including deaths due to MDR-TB and XDR-TB

All causes

10 238

252

Ischaemic heart diseases (I20-I25)

5

813

3 994

Influenza and pneumonia (J09-J18)

4

916

903

Non-natural causes

Diabetes mellitus (E10-E14)

3

No.

962

Other natural causes

Other forms of heart disease (I30-I52)

Hypertensive diseases (I10-I15)

2

Cerebrovascular diseases (I60-I69)

All Free State, both sexes, 65+

1

10 040

Non-natural causes

269

300

380

435

452

490

598

632

639

986

100,0

2,5

39,0

2,6

2,7

2,9

4,2

4,5

6,6

7,9

8,8

8,9

9,4

%

100,0

6,6

41,8

2,7

3,0

3,8

4,3

4,5

4,9

6,0

6,3

6,4

9,8

%

100,0

No.

9 625

1,5

1,6

1,6

2,3

2,9

4,4

6,6

7,0

8,4

28,8 19,8

4 195

All causes

% 15,3

2 776 1 901

143

217

280

419

633

670

Other natural causes

Certain disorders involving the immune mechanism (D80-D89)

Human immunodeficiency virus [HIV] disease (B20-B24)

6

10

Other forms of heart disease (I30-I52)

5

Other viral diseases (B25-B34)

Diabetes mellitus (E10-E14)

4

Chronic lower respiratory diseases (J40-J47)

Cerebrovascular diseases (I60-I69)

3

9

Influenza and pneumonia (J09-J18)

2

8

Tuberculosis (A15-A19)*

1

All Free State, both sexes, 45–64

All causes

Other natural causes Non-natural causes

152

Other viral diseases (B25-B34)

3

809

Human immunodeficiency virus [HIV] disease (B20-B24)

2

No.

1 475

Tuberculosis (A15-A19)*

1

Free State, both sexes, 15−44

10

9

8

7

6

5

4

3

2

1

10

9

8

7

6

5

4

3

2

1

10

9

8

7

6

5

4

3

2

1

All causes

Non-natural causes

Other natural causes

Malignant neoplasms of digestive organs (C15-C26)

Malignant neoplasms of male genital organs (C60-C63)

Tuberculosis (A15-A19)*

Ischaemic heart diseases (I20-I25)

Diabetes mellitus (E10-E14)

Chronic lower respiratory diseases (J40-J47)

Hypertensive diseases (I10-I15)

Influenza and pneumonia (J09-J18)

Other forms of heart disease (I30-I52)

Cerebrovascular diseases (I60-I69)

All Free State, males, 65+

All causes

Non-natural causes

Other natural causes

Malignant neoplasms of digestive organs (C15-C26)

Other viral diseases (B25-B34)

Hypertensive diseases (I10-I15)

Chronic lower respiratory diseases (J40-J47)

Human immunodeficiency virus [HIV] disease (B20-B24)

Diabetes mellitus (E10-E14)

Other forms of heart disease (I30-I52)

Cerebrovascular diseases (I60-I69)

Influenza and pneumonia (J09-J18)

Tuberculosis (A15-A19)*

All Free State, males, 45–64

All causes

Other natural causes Non-natural causes

Inflammatory diseases of the central nervous system (G00-G09)

Renal failure (N17-N19)

Cerebrovascular diseases (I60-I69)

Other forms of heart disease (I30-I52)

Intestinal infectious diseases (A00-A09)

Certain disorders involving the immune mechanism (D80-D89)

Other viral diseases (B25-B34)

Influenza and pneumonia (J09-J18)

Human immunodeficiency virus [HIV] disease (B20-B24)

Tuberculosis (A15-A19)*

Free State, males, 15−44

%

100,0

2,7

39,5

3,3

3,7

3,9

5,0

5,9

6,1

6,5

6,9

8,0

8,5

%

100,0

8,3

40,2

2,8

3,5

3,6

3,6

4,5

4,6

4,8

5,5

7,0

11,5

%

100,0

25,7 27,9

1,2

1,2

1,3

1,9

2,5

3,7

5,6

5,9

7,5

15,7

10

9

8

7

6

5

4

3

2

1

10

9

8

7

6

5

4

3

2

1

10

9

8

7

6

5

4

3

2

1

Free State, females, 15−44

All causes

Non-natural causes

Other natural causes

Malignant neoplasms of female genital organs (C51-C58)

Malignant neoplasms of digestive organs (C15-C26)

Chronic lower respiratory diseases (J40-J47)

Intestinal infectious diseases (A00-A09)

Ischaemic heart diseases (I20-I25)

Influenza and pneumonia (J09-J18)

Diabetes mellitus (E10-E14)

Other forms of heart disease (I30-I52)

Cerebrovascular diseases (I60-I69)

Hypertensive diseases (I10-I15)

All Free State, females, 65+

All causes

Non-natural causes

Other natural causes

Certain disorders involving the immune mechanism (D80-D89)

Malignant neoplasms of female genital organs (C51-C58)

Other viral diseases (B25-B34)

Human immunodeficiency virus [HIV] disease (B20-B24)

Other forms of heart disease (I30-I52)

Influenza and pneumonia (J09-J18)

Hypertensive diseases (I10-I15)

Cerebrovascular diseases (I60-I69)

Tuberculosis (A15-A19)*

Diabetes mellitus (E10-E14)

All Free State, females, 45–64

All causes

Other natural causes Non-natural causes

Cerebrovascular diseases (I60-I69)

Malignant neoplasms of female genital organs (C51-C58)

Protozoal diseases (B50-B64)

Other forms of heart disease (I30-I52)

Intestinal infectious diseases (A00-A09)

Certain disorders involving the immune mechanism (D80-D89)

Influenza and pneumonia (J09-J18)

Other viral diseases (B25-B34)

Human immunodeficiency virus [HIV] disease (B20-B24)

Tuberculosis (A15-A19)*

5 882

134

2 190

121

130

163

189

247

370

558

569

592

619

No.

4 157

174

1 725

139

157

175

185

205

225

226

307

312

327

No.

4 172

1 361 381

78

80

97

116

143

220

308

365

402

621

No.

P0309.3

Mortality and causes of death in South Africa, 2014: Findings from death notification

4 349

118

1 716

145

162

169

218

255

265

284

301

347

369

No.

5 864

489

2 358

167

205

209

211

265

270

283

323

412

672

No.

5 414

1 392 1 509

63

66

72

101

136

199

302

321

404

849

No.

Appendix M4: The ten leading underlying natural causes of death by age and sex: Free State, 2014 (concluded)

Statistics South Africa

%

100,0

2,3

37,2

2,1

2,2

2,8

3,2

4,2

6,3

9,5

9,7

10,1

10,5

%

100,0

4,2

41,5

3,3

3,8

4,2

4,5

4,9

5,4

5,4

7,4

7,5

7,9

%

100,0

32,6 9,1

1,9

1,9

2,3

2,8

3,4

5,3

7,4

8,7

9,6

14,9

101

Disorders related to length of gestation and fetal growth (P05-P08)

Influenza and pneumonia (J09-J18)

2

3

4

Malnutrition (E40-E46)

Haemorrhagic and haematological disorders of fetus and newborn (P50-P61) Other viral diseases (B25-B34)

7

8

9 10

Inflammatory diseases of the central nervous system (G00-G09)

Other forms of heart disease (I30-I52)

Episodic and paroxysmal disorders (G40-G47)

Cerebral palsy and other paralytic syndromes (G80-G83)

6

7

8

9

9

41

41

56

61

77

112

119

*Including deaths due to MDR-TB and XDR-TB

All causes

2 750

617

Other viral diseases (B25-B34)

5

Non-natural causes

Human immunodeficiency virus [HIV] disease (B20-B24)

4

160

154

979

Malnutrition (E40-E46)

3

No.

333

Other natural causes

Tuberculosis (A15-A19)*

Influenza and pneumonia (J09-J18)

2

Intestinal infectious diseases (A00-A09)

All KwaZulu-Natal, both sexes, 1–14

1

4 413

155

Non-natural causes

All causes

1 309

Other natural causes

108 102

161

197

Fetus and newborn affected by maternal factors and by complications of pregnancy, labour and delivery (P00-P04)

6

245

209

Infections specific to the perinatal period (P35-P39)

Other disorders originating in the perinatal period (P90-P96)

5

313

327

594

693

Intestinal infectious diseases (A00-A09)

1

100,0

22,4

35,6

1,5

1,5

2,0

2,2

2,8

4,1

4,3

5,6

5,8

12,1

%

100,0

3,5

29,7

2,4 2,3

3,6

4,5

4,7

5,6

7,1

7,4

13,5

15,7

%

No.

All KwaZulu-Natal, both sexes, Age 0

Respiratory and cardiovascular disorders specific to the perinatal period (P20P29)

37,9 10,5 100,0

8 347 79 138

2,2

3,5

3,6

3,7

3,9

4,8

6,2

6,2

6,2

29 997

1 749

2 805

2 815

2 914

3 101

3 812

4 868

4 927

4 940

% 11,2

Non-natural causes All causes

Ischaemic heart diseases (I20-I25)

10

No.

8 863

Other natural causes

Intestinal infectious diseases (A00-A09)

Hypertensive diseases (I10-I15)

9

Influenza and pneumonia (J09-J18)

7

8

Other forms of heart disease (I30-I52)

Diabetes mellitus (E10-E14)

4

Other viral diseases (B25-B34)

Human immunodeficiency virus [HIV] disease (B20-B24)

3

6

Cerebrovascular diseases (I60-I69)

2

5

Tuberculosis (A15-A19)*

1

KwaZulu-Natal, both sexes, all ages

10

9

8

7

6

5

4

3

2

1

9 10

8

7

6

5

4

3

2

1

10

9

8

7

6

5

4

3

2

1

All causes

Non-natural causes

Other natural causes

Other acute lower respiratory infections (J20-J22)

Cerebral palsy and other paralytic syndromes (G80-G83)

Inflammatory diseases of the central nervous system (G00-G09)

Other forms of heart disease (I30-I52)

Other viral diseases (B25-B34)

Malnutrition (E40-E46)

Human immunodeficiency virus [HIV] disease (B20-B24)

Influenza and pneumonia (J09-J18)

Tuberculosis (A15-A19)*

Intestinal infectious diseases (A00-A09)

All KwaZulu-Natal, males, 1–14

All causes

Non-natural causes

Other natural causes

Haemorrhagic and haematological disorders of fetus and newborn (P50-P61) Other viral diseases (B25-B34)

Malnutrition (E40-E46)

Fetus and newborn affected by maternal factors and by complications of pregnancy, labour and delivery (P00-P04)

Other disorders originating in the perinatal period (P90-P96)

Infections specific to the perinatal period (P35-P39)

Influenza and pneumonia (J09-J18)

Disorders related to length of gestation and fetal growth (P05-P08)

Intestinal infectious diseases (A00-A09)

Respiratory and cardiovascular disorders specific to the perinatal period (P20P29)

All KwaZulu-Natal, males, Age 0

Non-natural causes All causes

Other natural causes

Ischaemic heart diseases (I20-I25)

Hypertensive diseases (I10-I15)

Intestinal infectious diseases (A00-A09)

Influenza and pneumonia (J09-J18)

Other viral diseases (B25-B34)

Other forms of heart disease (I30-I52)

Diabetes mellitus (E10-E14)

Cerebrovascular diseases (I60-I69)

Human immunodeficiency virus [HIV] disease (B20-B24)

Tuberculosis (A15-A19)*

KwaZulu-Natal, males, all ages

%

100,0

25,7

33,6

1,3

1,5

1,7

1,8

2,8

3,7

4,1

5,8

5,9

12,1

%

100,0

3,2

29,7

2,9 2,1

3,6

4,3

4,8

6,0

6,6

7,3

13,8

15,6

%

15,6 100,0

36,1

2,4

2,4

3,3

3,6

4,0

4,0

4,3

4,7

6,3

13,3

10

9

8

7

6

5

4

3

2

1

9 10

8

7

6

5

4

3

2

1

10

9

8

7

6

5

4

3

2

1

KwaZulu-Natal, females, all ages

All causes

Non-natural causes

Other natural causes

Other bacterial diseases (A30-A49)

Episodic and paroxysmal disorders (G40-G47)

Other forms of heart disease (I30-I52)

Other viral diseases (B25-B34)

Inflammatory diseases of the central nervous system (G00-G09)

Human immunodeficiency virus [HIV] disease (B20-B24)

Malnutrition (E40-E46)

Influenza and pneumonia (J09-J18)

Tuberculosis (A15-A19)*

Intestinal infectious diseases (A00-A09)

All KwaZulu-Natal, females, 1–14

All causes

Non-natural causes

Other natural causes

Other bacterial diseases (A30-A49) Other viral diseases (B25-B34)

Malnutrition (E40-E46)

Other disorders originating in the perinatal period (P90-P96)

Infections specific to the perinatal period (P35-P39) Fetus and newborn affected by maternal factors and by complications of pregnancy, labour and delivery (P00-P04)

Disorders related to length of gestation and fetal growth (P05-P08)

Influenza and pneumonia (J09-J18)

Intestinal infectious diseases (A00-A09)

Respiratory and cardiovascular disorders specific to the perinatal period (P20P29)

All KwaZulu-Natal, females, Age 0

Non-natural causes All causes

Other natural causes

Malignant neoplasms of female genital organs (C51-C58)

Influenza and pneumonia (J09-J18)

Intestinal infectious diseases (A00-A09)

Other viral diseases (B25-B34)

Hypertensive diseases (I10-I15)

Other forms of heart disease (I30-I52)

Human immunodeficiency virus [HIV] disease (B20-B24)

Cerebrovascular diseases (I60-I69)

Diabetes mellitus (E10-E14)

Tuberculosis (A15-A19)*

1 209

220

462

18

23

28

34

35

48

60

65

70

146

No.

1 988

76

588

51 50

74

87

88

104

149

154

265

302

No.

1 988 38 452

15 111

942

1 457

1 483

1 486

1 828

2 182

2 343

3 038

3 135

3 459

No.

P0309.3

Mortality and causes of death in South Africa, 2014: Findings from death notification

1 533

394

515

20

23

26

28

43

57

63

89

90

185

No.

2 333

75

693

68 48

85

101

111

139

155

170

323

365

No.

6 315 40 432

14 606

962

974

1 316

1 451

1 601

1 628

1 733

1 900

2 567

5 379

No.

Appendix M5: The ten leading underlying natural causes of death by age and sex: KwaZulu-Natal, 2014

Statistics South Africa

%

100,0

18,2

38,2

1,5

1,9

2,3

2,8

2,9

4,0

5,0

5,4

5,8

12,1

%

100,0

3,8

29,6

2,6 2,5

3,7

4,4

4,4

5,2

7,5

7,7

13,3

15,2

%

5,2 100,0

39,3

2,4

3,8

3,9

3,9

4,8

5,7

6,1

7,9

8,2

9,0

102

435

353

Other forms of heart disease (I30-I52)

Inflammatory diseases of the central nervous system (G00-G09)

Protozoal diseases (B50-B64)

Cerebrovascular diseases (I60-I69)

7

8

9

10

Other forms of heart disease (I30-I52)

Other viral diseases (B25-B34)

Hypertensive diseases (I10-I15)

Influenza and pneumonia (J09-J18)

Malignant neoplasms of digestive organs (C15-C26)

Ischaemic heart diseases (I20-I25)

5

6

7

8

9

10

571

583

682

791

834

997

1 277

797

721

Other forms of heart disease (I30-I52)

Hypertensive diseases (I10-I15)

Ischaemic heart diseases (I20-I25)

Tuberculosis (A15-A19)*

Influenza and pneumonia (J09-J18)

Chronic lower respiratory diseases (J40-J47)

Intestinal infectious diseases (A00-A09)

General symptoms and signs (R50-R69)

3

4

5

6

7

8

9

10

*Including deaths due to MDR-TB and XDR-TB

25 179

658

Non-natural causes

All causes

9 110

Other natural causes

661

959

1 062

1 067

1 875

2 184

2 866

Diabetes mellitus (E10-E14)

2

3 219

Cerebrovascular diseases (I60-I69)

No.

20 931

1

All KwaZulu-Natal, both sexes, 65+

All causes

1 261

Human immunodeficiency virus [HIV] disease (B20-B24)

4

1 781

1 361

Non-natural causes

Cerebrovascular diseases (I60-I69)

3

8 069

Diabetes mellitus (E10-E14)

2

2 724

Other natural causes

Tuberculosis (A15-A19)*

1

No.

Non-natural causes All causes

All KwaZulu-Natal, both sexes, 45–64

7 221

4 597 25 688

Other natural causes

336

535

628

678

799

Intestinal infectious diseases (A00-A09)

Influenza and pneumonia (J09-J18)

4

3 294

1 970

Certain disorders involving the immune mechanism (D80-D89)

Other viral diseases (B25-B34)

3

6

Human immunodeficiency virus [HIV] disease (B20-B24)

2

No.

4 842

5

Tuberculosis (A15-A19)*

1

KwaZulu-Natal, both sexes, 15−44

100,0

2,6

36,2

2,6

2,9

3,2

3,8

4,2

4,2

7,4

8,7

11,4

12,8

%

100,0

6,0

38,6

2,7

2,8

3,3

3,8

4,0

4,8

6,1

6,5

8,5

13,0

%

17,9 100,0

28,1

1,3

1,4

1,7

2,1

2,4

2,6

3,1

7,7

12,8

18,8

%

10

9

8

7

6

5

4

3

2

1

10

9

8

7

6

5

4

3

2

1

10

9

8

7

6

5

4

3

2

1

All causes

Non-natural causes

Other natural causes

Malignant neoplasms of male genital organs (C60-C63)

Malignant neoplasms of digestive organs (C15-C26)

Influenza and pneumonia (J09-J18)

Chronic lower respiratory diseases (J40-J47)

Ischaemic heart diseases (I20-I25)

Hypertensive diseases (I10-I15)

Tuberculosis (A15-A19)*

Other forms of heart disease (I30-I52)

Diabetes mellitus (E10-E14)

Cerebrovascular diseases (I60-I69)

All KwaZulu-Natal, males, 65+

All causes

Non-natural causes

Other natural causes

Malignant neoplasms of digestive organs (C15-C26)

Chronic lower respiratory diseases (J40-J47)

Ischaemic heart diseases (I20-I25)

Influenza and pneumonia (J09-J18)

Other viral diseases (B25-B34)

Other forms of heart disease (I30-I52)

Diabetes mellitus (E10-E14)

Cerebrovascular diseases (I60-I69)

Human immunodeficiency virus [HIV] disease (B20-B24)

Tuberculosis (A15-A19)*

All KwaZulu-Natal, males, 45–64

Non-natural causes All causes

Other natural causes

Renal failure (N17-N19)

Episodic and paroxysmal disorders (G40-G47)

Inflammatory diseases of the central nervous system (G00-G09)

Certain disorders involving the immune mechanism (D80-D89)

Other forms of heart disease (I30-I52)

Intestinal infectious diseases (A00-A09)

Influenza and pneumonia (J09-J18)

Other viral diseases (B25-B34)

Human immunodeficiency virus [HIV] disease (B20-B24)

Tuberculosis (A15-A19)*

KwaZulu-Natal, males, 15−44

%

100,0

3,2

36,9

2,8

3,4

4,1

4,9

5,1

5,8

6,2

7,9

9,5

10,2

%

100,0

7,7

37,7

2,9

3,0

3,2

3,3

4,0

4,5

5,9

6,0

6,0

15,8

%

25,9 100,0

25,2

1,2

1,3

1,5

1,8

1,8

2,2

2,7

6,6

11,2

18,6

9

9

8

7

6

5

4

3

2

1

10

9

8

7

6

5

4

3

2

1

10

9

8

7

6

5

4

3

2

1

KwaZulu-Natal, females, 15−44

All causes

Non-natural causes

Other natural causes

Chronic lower respiratory diseases (J40-J47)

Malignant neoplasms of digestive organs (C15-C26)

Tuberculosis (A15-A19)*

Intestinal infectious diseases (A00-A09)

Influenza and pneumonia (J09-J18)

Ischaemic heart diseases (I20-I25)

Hypertensive diseases (I10-I15)

Other forms of heart disease (I30-I52)

Diabetes mellitus (E10-E14)

Cerebrovascular diseases (I60-I69)

All KwaZulu-Natal, females, 65+

All causes

Non-natural causes

Other natural causes

Malignant neoplasms of digestive organs (C15-C26)

Influenza and pneumonia (J09-J18)

Other viral diseases (B25-B34)

Malignant neoplasms of female genital organs (C51-C58)

Hypertensive diseases (I10-I15)

Other forms of heart disease (I30-I52)

Human immunodeficiency virus [HIV] disease (B20-B24)

Cerebrovascular diseases (I60-I69)

Tuberculosis (A15-A19)*

Diabetes mellitus (E10-E14)

All KwaZulu-Natal, females, 45–64

Non-natural causes All causes

Other natural causes

Protozoal diseases (B50-B64)

Inflammatory diseases of the central nervous system (G00-G09)

Malignant neoplasms of female genital organs (C51-C58)

Other forms of heart disease (I30-I52)

Intestinal infectious diseases (A00-A09)

Certain disorders involving the immune mechanism (D80-D89)

Influenza and pneumonia (J09-J18)

Other viral diseases (B25-B34)

Human immunodeficiency virus [HIV] disease (B20-B24)

Tuberculosis (A15-A19)*

15 508

350

5 499

321

321

463

509

561

570

1 313

1 420

1 950

2 231

No.

8 787

327

3 263

227

276

350

392

443

451

547

637

802

1 072

No.

772 10 918

3 364

206

212

256

264

353

361

399

993

1 643

2 095

No.

P0309.3

Mortality and causes of death in South Africa, 2014: Findings from death notification

9 667

307

3 569

267

326

398

475

496

562

599

764

916

988

No.

12 115

932

4 564

355

363

389

405

484

546

709

723

727

1 918

No.

3 808 14 680

3 699

177

187

222

263

269

320

399

967

1 640

2 729

No.

Appendix M5: The ten leading underlying natural causes of death by age and sex: KwaZulu-Natal, 2014 (concluded)

Statistics South Africa

%

100,0

2,3

35,5

2,1

2,1

3,0

3,3

3,6

3,7

8,5

9,2

12,6

14,4

%

100,0

3,7

37,1

2,6

3,1

4,0

4,5

5,0

5,1

6,2

7,2

9,1

12,2

%

7,1 100,0

30,8

1,9

1,9

2,3

2,4

3,2

3,3

3,7

9,1

15,0

19,2

103

Chronic lower respiratory diseases (J40-J47)

10

1 367

824

1 227

10

62

37

43

246

*Including deaths due to MDR-TB and XDR-TB.

1 397

Non-natural causes

All causes

409

19

21

21

24

32

33

64

97

166

265

No.

2 546

Other natural causes

Episodic and paroxysmal disorders (G40-G47)

7

10

Other acute lower respiratory infections (J20-J22)

6

Other forms of heart disease (I30-I52)

Human immunodeficiency virus [HIV] disease (B20-B24)

5

Other diseases of the respiratory system (J95-J99)

Other viral diseases (B25-B34)

4

8

Tuberculosis (A15-A19)*

3

8

Malnutrition (E40-E46)

Influenza and pneumonia (J09-J18)

2

Intestinal infectious diseases (A00-A09)

1

All North West, both sexes, 1–14

All causes

61

Other diseases of the respiratory system (J95-J99)

9

Non-natural causes

Other acute lower respiratory infections (J20-J22)

8

761

Fetus and newborn affected by maternal factors and by complications of pregnancy, labour and delivery (P00-P04)

108

113

133

149

Other natural causes

Disorders related to length of gestation and fetal growth (P05-P08)

Malnutrition (E40-E46)

5

Infections specific to the perinatal period (P35-P39)

Other disorders originating in the perinatal period (P90-P96)

4

7

Influenza and pneumonia (J09-J18)

3

6

392

Respiratory and cardiovascular disorders specific to the perinatal period (P20P29)

2

222

465

Intestinal infectious diseases (A00-A09)

No.

34 933

1

All North West, both sexes, Age 0

All causes

2 872

Other viral diseases (B25-B34)

9

14 931

Diabetes mellitus (E10-E14)

8

1 466

1 527

1 669

1 890

1 950

2 098

Non-natural causes

Intestinal infectious diseases (A00-A09)

7

No.

3 112

Other natural causes

Cerebrovascular diseases (I60-I69)

Hypertensive diseases (I10-I15)

4

Human immunodeficiency virus [HIV] disease (B20-B24)

Influenza and pneumonia (J09-J18)

3

6

Other forms of heart disease (I30-I52)

2

5

Tuberculosis (A15-A19)*

1

North West, both sexes, all ages

100,0

17,6

29,3

1,4

1,5

1,5

1,7

2,3

2,4

4,6

6,9

11,9

19,0

%

100,0

2,4

29,9

1,5

1,7

2,4

4,2

4,4

5,2

5,9

8,7

15,4

18,3

%

100,0

8,2

42,7

2,4

3,5

3,9

4,2

4,4

4,8

5,4

5,6

6,0

8,9

%

10

8

8

6

6

5

4

3

2

1

10

9

8

7

6

5

4

3

2

1

10

9

8

7

6

5

4

3

2

1

All causes

Non-natural causes

Other natural causes

Metabolic disorders (E70-E90)

Other acute lower respiratory infections (J20-J22)

Cerebral palsy and other paralytic syndromes (G80-G83)

Other diseases of the respiratory system (J95-J99)

Human immunodeficiency virus [HIV] disease (B20-B24)

Other viral diseases (B25-B34)

Tuberculosis (A15-A19)*

Influenza and pneumonia (J09-J18)

Malnutrition (E40-E46)

Intestinal infectious diseases (A00-A09)

All North West, males, 1–14

All causes

Non-natural causes

Other natural causes

Other acute lower respiratory infections (J20-J22)

Other bacterial diseases (A30-A49)

Fetus and newborn affected by maternal factors and by complications of pregnancy, labour and delivery (P00-P04)

Infections specific to the perinatal period (P35-P39)

Disorders related to length of gestation and fetal growth (P05-P08)

Malnutrition (E40-E46)

Other disorders originating in the perinatal period (P90-P96)

Influenza and pneumonia (J09-J18)

Respiratory and cardiovascular disorders specific to the perinatal period (P20P29)

Intestinal infectious diseases (A00-A09)

All North West, males, Age 0

All causes

Non-natural causes

Other natural causes

Chronic lower respiratory diseases (J40-J47)

Diabetes mellitus (E10-E14)

Other viral diseases (B25-B34)

Hypertensive diseases (I10-I15)

Intestinal infectious diseases (A00-A09)

Cerebrovascular diseases (I60-I69)

Human immunodeficiency virus [HIV] disease (B20-B24)

Other forms of heart disease (I30-I52)

Influenza and pneumonia (J09-J18)

Tuberculosis (A15-A19)*

North West, males, all ages

No.

%

100,0

17,9

27,9

1,5

1,6

1,6

1,9

1,9

2,9

4,8

6,5

12,2

19,2

%

100,0

2,2

28,6

1,8

1,8

2,2

4,3

4,7

5,4

6,3

8,2

15,8

18,7

%

100,0

11,6

41,7

2,7

2,9

3,5

3,7

3,9

4,2

4,3

5,7

5,7

10,1

10

9

8

6

6

5

4

3

2

1

10

9

8

7

6

5

4

3

2

1

10

9

8

7

6

5

4

3

2

1

North West, females, all ages

All causes

Non-natural causes

Other natural causes

Inflammatory diseases of the central nervous system (G00-G09)

Episodic and paroxysmal disorders (G40-G47)

Other forms of heart disease (I30-I52)

Other acute lower respiratory infections (J20-J22)

Other viral diseases (B25-B34)

Human immunodeficiency virus [HIV] disease (B20-B24)

Tuberculosis (A15-A19)*

Influenza and pneumonia (J09-J18)

Malnutrition (E40-E46)

Intestinal infectious diseases (A00-A09)

All North West, females, 1–14

All causes

Non-natural causes

Other natural causes

Other diseases of the respiratory system (J95-J99)

Other viral diseases (B25-B34)

Fetus and newborn affected by maternal factors and by complications of pregnancy, labour and delivery (P00-P04)

Disorders related to length of gestation and fetal growth (P05-P08)

Infections specific to the perinatal period (P35-P39)

Other disorders originating in the perinatal period (P90-P96)

Malnutrition (E40-E46)

Influenza and pneumonia (J09-J18)

Respiratory and cardiovascular disorders specific to the perinatal period (P20P29)

Intestinal infectious diseases (A00-A09)

All North West, females, Age 0

All causes

Non-natural causes

Other natural causes

Malignant neoplasms of female genital organs (C51-C58)

Other viral diseases (B25-B34)

Human immunodeficiency virus [HIV] disease (B20-B24)

Intestinal infectious diseases (A00-A09)

Diabetes mellitus (E10-E14)

Influenza and pneumonia (J09-J18)

Cerebrovascular diseases (I60-I69)

Other forms of heart disease (I30-I52)

Hypertensive diseases (I10-I15)

Tuberculosis (A15-A19)*

658

113

200

7

10

11

12

12

18

28

49

76

122

No.

1 140

28

353

18

19

30

46

47

57

59

107

169

207

No.

16 034

685

6 994

364

566

709

732

812

871

882

1 030

1 193

1 196

No.

P0309.3

Mortality and causes of death in South Africa, 2014: Findings from death notification

728

130

203

11

12

12

14

14

21

35

47

89

140

No.

1 360

30

389

25

25

30

58

64

73

85

112

215

254

No.

18 769

2 171

7 831

507

553

653

696

725

785

812

1 064

1 068

1 904

Appendix M6: The ten leading underlying natural causes of death by age and sex: North West, 2014

Statistics South Africa

%

100,0

17,2

30,4

1,1

1,5

1,7

1,8

1,8

2,7

4,3

7,4

11,6

18,5

%

100,0

2,5

31,0

1,6

1,7

2,6

4,0

4,1

5,0

5,2

9,4

14,8

18,2

%

100,0

4,3

43,6

2,3

3,5

4,4

4,6

5,1

5,4

5,5

6,4

7,4

7,5

104

Intestinal infectious diseases (A00-A09)

7

No.

9 827

All causes

323 282

Cerebrovascular diseases (I60-I69)

Diabetes mellitus (E10-E14)

Chronic lower respiratory diseases (J40-J47)

Influenza and pneumonia (J09-J18)

Tuberculosis (A15-A19)*

Ischaemic heart diseases (I20-I25)

Malignant neoplasms of digestive organs (C15-C26)

Intestinal infectious diseases (A00-A09)

3

4

5

6

7

8

9

10

*Including deaths due to MDR-TB and XDR-TB

11 024

210

Non-natural causes

All causes

4 491

Other natural causes

266

355

432

449

756

1 086

1 102

Other forms of heart disease (I30-I52)

2

No.

1 272

Hypertensive diseases (I10-I15)

1

All North West, both sexes, 65+

10 060

586

All causes

Non-natural causes

256

4 272

Certain disorders involving the immune mechanism (D80-D89)

10

284

423

447

489

518

524

532

631

1 098

Other natural causes

Chronic lower respiratory diseases (J40-J47)

Human immunodeficiency virus [HIV] disease (B20-B24)

6

9

Diabetes mellitus (E10-E14)

5

Cerebrovascular diseases (I60-I69)

Hypertensive diseases (I10-I15)

4

Other viral diseases (B25-B34)

Influenza and pneumonia (J09-J18)

3

8

Other forms of heart disease (I30-I52)

2

7

Tuberculosis (A15-A19)*

1

No.

1 746

Non-natural causes

All North West, both sexes, 45–64

2 918

112

121

126

234

319

397

663

694

935

1 562

Other natural causes

Other bacterial diseases (A30-A49)

Other forms of heart disease (I30-I52)

6

10

Certain disorders involving the immune mechanism (D80-D89)

5

Cerebrovascular diseases (I60-I69)

Influenza and pneumonia (J09-J18)

4

Other acute lower respiratory infections (J20-J22)

Other viral diseases (B25-B34)

3

9

Human immunodeficiency virus [HIV] disease (B20-B24)

2

8

Tuberculosis (A15-A19)*

1

North West, both sexes, all ages

100,0

1,9

40,7

2,4

2,6

2,9

3,2

3,9

4,1

6,9

9,9

10,0

11,5

%

100,0

5,8

42,5

2,5

2,8

4,2

4,4

4,9

5,1

5,2

5,3

6,3

10,9

%

100,0

17,8

29,7

1,1

1,2

1,3

2,4

3,2

4,0

6,7

7,1

9,5

15,9

%

10

9

8

7

6

5

4

3

2

1

10

9

8

7

6

5

4

3

2

1

10

9

8

7

6

5

4

3

2

1

All causes

Non-natural causes

Other natural causes

Ischaemic heart diseases (I20-I25)

Malignant neoplasms of male genital organs (C60-C63)

Malignant neoplasms of digestive organs (C15-C26)

Influenza and pneumonia (J09-J18)

Tuberculosis (A15-A19)*

Chronic lower respiratory diseases (J40-J47)

Diabetes mellitus (E10-E14)

Hypertensive diseases (I10-I15)

Cerebrovascular diseases (I60-I69)

Other forms of heart disease (I30-I52)

All North West, males, 65+

All causes

Non-natural causes

Other natural causes

Malignant neoplasms of digestive organs (C15-C26)

Chronic lower respiratory diseases (J40-J47)

Diabetes mellitus (E10-E14)

Hypertensive diseases (I10-I15)

Cerebrovascular diseases (I60-I69)

Other viral diseases (B25-B34)

Human immunodeficiency virus [HIV] disease (B20-B24)

Influenza and pneumonia (J09-J18)

Other forms of heart disease (I30-I52)

Tuberculosis (A15-A19)*

All North West, males, 45–64

All causes

Non-natural causes

Other natural causes

Episodic and paroxysmal disorders (G40-G47)

Inflammatory diseases of the central nervous system (G00-G09)

Cerebrovascular diseases (I60-I69)

Intestinal infectious diseases (A00-A09)

Other forms of heart disease (I30-I52)

Certain disorders involving the immune mechanism (D80-D89)

Influenza and pneumonia (J09-J18)

Other viral diseases (B25-B34)

Human immunodeficiency virus [HIV] disease (B20-B24)

Tuberculosis (A15-A19)*

North West, males, all ages

%

100,0

2,4

41,1

3,0

3,1

3,5

4,7

4,8

5,3

5,7

8,0

8,8

9,5

%

100,0

7,6

41,1

2,7

3,3

3,6

4,0

4,1

4,2

4,7

5,7

6,4

12,6

%

100,0

25,9

25,7

1,2

1,2

1,5

1,8

3,0

3,5

5,8

6,2

8,7

15,6

10

9

8

7

6

5

4

3

2

1

10

9

8

7

6

5

4

3

2

1

10

9

8

7

6

5

4

3

2

1

North West, females, all ages

All causes

Non-natural causes

Other natural causes

Tuberculosis (A15-A19)*

Malignant neoplasms of female genital organs (C51-C58)

Intestinal infectious diseases (A00-A09)

Ischaemic heart diseases (I20-I25)

Chronic lower respiratory diseases (J40-J47)

Influenza and pneumonia (J09-J18)

Diabetes mellitus (E10-E14)

Other forms of heart disease (I30-I52)

Cerebrovascular diseases (I60-I69)

Hypertensive diseases (I10-I15)

All North West, females, 65+

All causes

Non-natural causes

Other natural causes

Intestinal infectious diseases (A00-A09)

Malignant neoplasms of female genital organs (C51-C58)

Other viral diseases (B25-B34)

Influenza and pneumonia (J09-J18)

Cerebrovascular diseases (I60-I69)

Human immunodeficiency virus [HIV] disease (B20-B24)

Other forms of heart disease (I30-I52)

Hypertensive diseases (I10-I15)

Diabetes mellitus (E10-E14)

Tuberculosis (A15-A19)*

All North West, females, 45–64

All causes

Non-natural causes

Other natural causes

Other bacterial diseases (A30-A49)

Other acute lower respiratory infections (J20-J22)

Malignant neoplasms of female genital organs (C51-C58)

Intestinal infectious diseases (A00-A09)

Other forms of heart disease (I30-I52)

Certain disorders involving the immune mechanism (D80-D89)

Influenza and pneumonia (J09-J18)

Other viral diseases (B25-B34)

Human immunodeficiency virus [HIV] disease (B20-B24)

Tuberculosis (A15-A19)*

5 862

85

2 300

109

126

152

165

176

187

459

610

635

858

No.

4 039

131

1 706

114

161

168

186

199

207

243

285

301

338

No.

4 324

325

1 435

67

70

77

136

156

207

342

351

455

703

No.

%

7,5

33,2

1,5

1,6

1,8

3,1

3,6

4,8

7,9

8,1

10,5

16,3

100,0

1,5

39,2

1,9

2,1

2,6

2,8

3,0

3,2

7,8

10,4

10,8

14,6

%

100,0

3,2

42,2

2,8

4,0

4,2

4,6

4,9

5,1

6,0

7,1

7,5

8,4

%

100,0

P0309.3

Mortality and causes of death in South Africa, 2014: Findings from death notification

5 153

125

2 117

157

161

180

244

245

273

296

413

451

491

No.

6 003

454

2 467

162

196

216

239

248

253

282

344

386

756

No.

5 467

1 414

1 406

64

66

83

96

162

189

317

339

476

855

No.

Appendix M6: The ten leading underlying natural causes of death by age and sex: North West, 2014 (concluded)

Statistics South Africa

105

2 753

2 488

Hypertensive diseases (I10-I15)

Human immunodeficiency virus [HIV] disease (B20-B24)

Ischaemic heart diseases (I20-I25)

Other viral diseases (B25-B34)

Chronic lower respiratory diseases (J40-J47)

6

7

8

9

10

%

Other diseases of the respiratory system (J95-J99)

Human immunodeficiency virus [HIV] disease (B20-B24)

Inflammatory diseases of the central nervous system (G00-G09)

Other viral diseases (B25-B34)

Other forms of heart disease (I30-I52)

Cerebral palsy and other paralytic syndromes (G80-G83)

5

6

7

8

8

10

46

50

50

56

57

67

87

*Including deaths due to MDR-TB and XDR-TB.

All causes

2 613

651

Tuberculosis (A15-A19)*

4

88

185

Non-natural causes

Malnutrition (E40-E46)

3

1 071

Intestinal infectious diseases (A00-A09)

2

205

No.

6 147

Other natural causes

Influenza and pneumonia (J09-J18)

1

All Gauteng, both sexes, 1–14

All causes

159

139

Non-natural causes

Other bacterial diseases (A30-A49)

10

143

2 365

Digestive system disorders of fetus and newborn (P75-P78)

9

202 168

Other natural causes

Disorders related to length of gestation and fetal growth (P05-P08)

Congenital malformations of the circulatory system (Q20-Q28)

8

248

Fetus and newborn affected by maternal factors and by complications of pregnancy, labour and delivery (P00-P04)

6

7

371

410

Influenza and pneumonia (J09-J18)

449

Other disorders originating in the perinatal period (P90-P96)

3

466

5

Infections specific to the perinatal period (P35-P39)

2

4

Intestinal infectious diseases (A00-A09)

1

1 027

%

No.

Respiratory and cardiovascular disorders specific to the perinatal period (P20P29)

All Gauteng, both sexes, Age 0

100,0

96 736

All causes

48,8

100,0

24,9

41,0

1,8

1,9

1,9

2,1

2,2

2,6

3,3

3,4

7,1

7,8

%

100,0

2,6

38,5

2,3

2,3

2,7

3,3

4,0

6,0

6,7

7,3

7,6

16,7

10,8

47 250

10 425

Non-natural causes

2,3

2,6

2,8

3,1

3,4

4,2

4,2

5,5

5,5

6,7

Other natural causes

2 266

2 980

3 269

4 034

4 073

Cerebrovascular diseases (I60-I69)

5 323

5 358

Diabetes mellitus (E10-E14)

Other forms of heart disease (I30-I52)

3

5

Influenza and pneumonia (J09-J18)

2

No.

6 517

4

Tuberculosis (A15-A19)*

1

Gauteng, both sexes, all ages

10

8

8

6

6

5

4

3

2

1

10

9

8

7

6

4

4

3

2

1

10

9

8

7

6

5

4

3

2

1

All causes

Non-natural causes

Other natural causes

Cerebral palsy and other paralytic syndromes (G80-G83) Malignant neoplasms, stated or presumed to be primary, of lymphoid, haematopoietic and related tissue (C81-C96)

Other viral diseases (B25-B34)

Inflammatory diseases of the central nervous system (G00-G09)

Human immunodeficiency virus [HIV] disease (B20-B24)

Other diseases of the respiratory system (J95-J99)

Tuberculosis (A15-A19)*

Malnutrition (E40-E46)

Influenza and pneumonia (J09-J18)

Intestinal infectious diseases (A00-A09)

All Gauteng, males, 1–14

All causes

Non-natural causes

Other natural causes

Haemorrhagic and haematological disorders of fetus and newborn (P50-P61)

Digestive system disorders of fetus and newborn (P75-P78)

Congenital malformations of the circulatory system (Q20-Q28)

Disorders related to length of gestation and fetal growth (P05-P08)

Fetus and newborn affected by maternal factors and by complications of pregnancy, labour and delivery (P00-P04)

Other disorders originating in the perinatal period (P90-P96)

Influenza and pneumonia (J09-J18)

Infections specific to the perinatal period (P35-P39)

Intestinal infectious diseases (A00-A09)

Respiratory and cardiovascular disorders specific to the perinatal period (P20P29)

All Gauteng, males, Age 0

All causes

Non-natural causes

Other natural causes

Other viral diseases (B25-B34)

Malignant neoplasms of digestive organs (C15-C26)

Chronic lower respiratory diseases (J40-J47)

Human immunodeficiency virus [HIV] disease (B20-B24)

Ischaemic heart diseases (I20-I25)

Diabetes mellitus (E10-E14)

Cerebrovascular diseases (I60-I69)

Other forms of heart disease (I30-I52)

Influenza and pneumonia (J09-J18)

Tuberculosis (A15-A19)*

Gauteng, males, all ages

Appendix M7: The ten leading underlying natural causes of death by age and sex: Gauteng, 2014

Statistics South Africa

No.

%

100,0

28,6

38,0

1,8

1,8

1,8

2,0

2,0

2,0

3,6

3,7

7,3

7,5

%

100,0

2,3

38,0

2,4

2,4

2,9

3,3

4,0

6,2

6,2

7,3

7,7

17,5

%

100,0

15,5

46,0

2,5

2,5

2,5

3,1

3,2

3,5

3,7

5,0

5,3

7,3

10

9

8

7

6

5

4

3

2

1

10

9

8

7

6

5

4

3

2

1

10

9

8

7

6

5

4

3

2

1

Gauteng, females, all ages

All causes

Non-natural causes

Other natural causes

Congenital malformations of the circulatory system (Q20-Q28)

Other viral diseases (B25-B34)

Inflammatory diseases of the central nervous system (G00-G09)

Human immunodeficiency virus [HIV] disease (B20-B24)

Other forms of heart disease (I30-I52)

Malnutrition (E40-E46)

Other diseases of the respiratory system (J95-J99)

Tuberculosis (A15-A19)*

Intestinal infectious diseases (A00-A09)

Influenza and pneumonia (J09-J18)

All Gauteng, females, 1–14

All causes

Non-natural causes

Other natural causes

Other acute lower respiratory infections (J20-J22)

Other bacterial diseases (A30-A49)

Congenital malformations of the circulatory system (Q20-Q28)

Disorders related to length of gestation and fetal growth (P05-P08)

Fetus and newborn affected by maternal factors and by complications of pregnancy, labour and delivery (P00-P04)

Other disorders originating in the perinatal period (P90-P96)

Infections specific to the perinatal period (P35-P39)

Influenza and pneumonia (J09-J18)

Intestinal infectious diseases (A00-A09)

Respiratory and cardiovascular disorders specific to the perinatal period (P20P29)

All Gauteng, females, Age 0

All causes

Non-natural causes

Other natural causes

Ischaemic heart diseases (I20-I25)

Intestinal infectious diseases (A00-A09)

Other viral diseases (B25-B34)

Human immunodeficiency virus [HIV] disease (B20-B24)

Hypertensive diseases (I10-I15)

Cerebrovascular diseases (I60-I69)

Diabetes mellitus (E10-E14)

Influenza and pneumonia (J09-J18)

Other forms of heart disease (I30-I52)

Tuberculosis (A15-A19)*

No.

1 176

245

518

21

23

27

28

29

34

36

36

77

102

No.

2 742

74

1 081

61

67

72

87

109

151

202

205

206

427

No.

44 759

2 302

23 070

1 087

1 169

1 202

1 357

2 050

2 189

2 264

2 598

2 722

2 749

%

5,1

51,5

2,4

2,6

2,7

3,0

4,6

4,9

5,1

5,8

6,1

6,1

100,0

20,8

44,0

1,8

2,0

2,3

2,4

2,5

2,9

3,1

3,1

6,5

8,7

%

100,0

2,7

39,4

2,2

2,4

2,6

3,2

4,0

5,5

7,4

7,5

7,5

15,6

%

100,0

Mortality and causes of death in South Africa, 2014: Findings from death notification

1 415

404

537

25

26

26

28

28

29

51

52

103

106

No.

3 232

75

1 228

77

78

93

106

128

199

199

236

249

564

No.

51 186

7 912

23 528

1 265

1 282

1 302

1 594

1 654

1 766

1 872

2 578

2 721

3 712

P0309.3

106

No.

546 463

Other viral diseases (B25-B34)

Certain disorders involving the immune mechanism (D80-D89)

Other forms of heart disease (I30-I52)

Intestinal infectious diseases (A00-A09)

Inflammatory diseases of the central nervous system (G00-G09)

Protozoal diseases (B50-B64)

Cerebrovascular diseases (I60-I69)

4

5

6

7

8

9

10

Other viral diseases (B25-B34)

10

789

854

*Including deaths due to MDR-TB and XDR-TB.

All causes

31 196

1 039

618

Non-natural causes

10

733

1 126

13 735

Malignant neoplasms of respiratory and intrathoracic organs (C30-C39)

9

1 389

1 482

1 713

2 142

2 256

2 285

2 678

No.

27 770

Other natural causes

Malignant neoplasms of digestive organs (C15-C26)

Renal failure (N17-N19)

8

Influenza and pneumonia (J09-J18)

5

Chronic lower respiratory diseases (J40-J47)

Ischaemic heart diseases (I20-I25)

4

7

Hypertensive diseases (I10-I15)

3

6

Cerebrovascular diseases (I60-I69)

Diabetes mellitus (E10-E14)

2

Other forms of heart disease (I30-I52)

1

All Gauteng, both sexes, 65+

All causes

1 890

Ischaemic heart diseases (I20-I25)

9

915

Non-natural causes

Malignant neoplasms of digestive organs (C15-C26)

8

924

964

1 334

1 386

1 487

1 628

13 326

Hypertensive diseases (I10-I15)

7

No.

2 273

Other natural causes

Cerebrovascular diseases (I60-I69)

Human immunodeficiency virus [HIV] disease (B20-B24)

Influenza and pneumonia (J09-J18)

4

6

Diabetes mellitus (E10-E14)

3

5

Other forms of heart disease (I30-I52)

2

All Gauteng, both sexes, 45–64

Tuberculosis (A15-A19)*

1

28 588

Non-natural causes

All causes

9 553

6 523

Other natural causes

437

578

883

889

1 471

1 819

1 843

Influenza and pneumonia (J09-J18)

Human immunodeficiency virus [HIV] disease (B20-B24)

3

3 583

2

Tuberculosis (A15-A19)*

1

Gauteng, both sexes, 15−44

100,0

3,3

44,0

2,0

2,3

3,6

4,5

4,8

5,5

6,9

7,2

7,3

8,6

%

100,0

6,8

48,0

2,8

3,1

3,3

3,3

3,5

4,8

5,0

5,4

5,9

8,2

%

100,0

22,8

33,4

1,5

1,6

1,9

2,0

3,1

3,1

5,1

6,4

6,4

12,5

%

10

9

8

7

6

5

4

3

2

1

10

9

8

7

6

5

4

3

2

1

10

9

8

7

6

5

4

3

2

1

All causes

Non-natural causes

Other natural causes

Malignant neoplasms of respiratory and intrathoracic organs (C30-C39)

Malignant neoplasms of male genital organs (C60-C63)

Malignant neoplasms of digestive organs (C15-C26)

Influenza and pneumonia (J09-J18)

Hypertensive diseases (I10-I15)

Chronic lower respiratory diseases (J40-J47)

Diabetes mellitus (E10-E14)

Cerebrovascular diseases (I60-I69)

Ischaemic heart diseases (I20-I25)

Other forms of heart disease (I30-I52)

All Gauteng, males, 65+

All causes

Non-natural causes

Other natural causes

Other viral diseases (B25-B34)

Chronic lower respiratory diseases (J40-J47)

Malignant neoplasms of digestive organs (C15-C26)

Human immunodeficiency virus [HIV] disease (B20-B24)

Ischaemic heart diseases (I20-I25)

Cerebrovascular diseases (I60-I69)

Diabetes mellitus (E10-E14)

Influenza and pneumonia (J09-J18)

Other forms of heart disease (I30-I52)

Tuberculosis (A15-A19)*

All Gauteng, males, 45–64

All causes

Non-natural causes

Other natural causes

Renal failure (N17-N19)

Cerebrovascular diseases (I60-I69)

Intestinal infectious diseases (A00-A09)

Inflammatory diseases of the central nervous system (G00-G09)

Certain disorders involving the immune mechanism (D80-D89)

Other forms of heart disease (I30-I52)

Other viral diseases (B25-B34)

Human immunodeficiency virus [HIV] disease (B20-B24)

Influenza and pneumonia (J09-J18)

Tuberculosis (A15-A19)*

Gauteng, males, 15−44

%

100,0

3,8

42,5

2,8

3,9

4,3

4,7

5,0

5,4

6,5

6,6

6,7

8,0

%

100,0

8,8

45,7

2,8

2,8

3,5

3,6

3,8

4,5

4,5

5,2

5,7

9,1

%

100,0

33,1

28,7

1,3

1,4

1,5

1,7

2,5

3,1

4,3

5,5

5,6

11,3

10

9

8

7

6

5

4

3

2

1

9

9

8

7

6

5

4

3

2

1

10

9

8

7

6

5

4

3

2

1

Gauteng, females, 15−44

All causes

Non-natural causes

Other natural causes

Renal failure (N17-N19)

Other bacterial diseases (A30-A49)

Malignant neoplasms of digestive organs (C15-C26)

Chronic lower respiratory diseases (J40-J47)

Ischaemic heart diseases (I20-I25)

Influenza and pneumonia (J09-J18)

Diabetes mellitus (E10-E14)

Cerebrovascular diseases (I60-I69)

Hypertensive diseases (I10-I15)

Other forms of heart disease (I30-I52)

All Gauteng, females, 65+

All causes

Non-natural causes

Other natural causes

Malignant neoplasms of breast (C50)

Malignant neoplasms of digestive organs (C15-C26)

Human immunodeficiency virus [HIV] disease (B20-B24)

Malignant neoplasms of female genital organs (C51-C58)

Hypertensive diseases (I10-I15)

Influenza and pneumonia (J09-J18)

Cerebrovascular diseases (I60-I69)

Other forms of heart disease (I30-I52)

Diabetes mellitus (E10-E14)

Tuberculosis (A15-A19)*

All Gauteng, females, 45–64

All causes

Non-natural causes

Other natural causes

Malignant neoplasms of female genital organs (C51-C58)

Inflammatory diseases of the central nervous system (G00-G09)

Protozoal diseases (B50-B64)

Intestinal infectious diseases (A00-A09)

Other forms of heart disease (I30-I52)

Certain disorders involving the immune mechanism (D80-D89)

Other viral diseases (B25-B34)

Human immunodeficiency virus [HIV] disease (B20-B24)

Influenza and pneumonia (J09-J18)

Tuberculosis (A15-A19)*

17 407

518

7 547

371

378

535

643

793

840

1 366

1 379

1 455

1 582

No.

11 491

452

5 614

351

351

369

473

493

537

598

706

754

793

No.

11 884

1 007

4 667

249

266

282

324

370

479

753

894

906

1 687

No.

P0309.3

Mortality and causes of death in South Africa, 2014: Findings from death notification

13 761

520

5 853

379

542

591

642

684

746

889

903

918

1 094

No.

16 190

1 424

7 404

448

457

563

589

617

729

733

839

918

1 469

No.

16 387

5 416

4 705

208

230

250

274

406

505

706

909

921

1 857

No.

Appendix M7: The ten leading underlying natural causes of death by age and sex: Gauteng, 2014 (concluded)

Statistics South Africa

%

100,0

3,0

43,4

2,1

2,2

3,1

3,7

4,6

4,8

7,8

7,9

8,4

9,1

%

100,0

3,9

48,9

3,1

3,1

3,2

4,1

4,3

4,7

5,2

6,1

6,6

6,9

%

100,0

8,5

39,3

2,1

2,2

2,4

2,7

3,1

4,0

6,3

7,5

7,6

14,2

107

Other forms of heart disease (I30-I52)

Certain disorders involving the immune mechanism (D80-D89)

9

10

851

1 508

1 531

85

68

Influenza and pneumonia (J09-J18)

Other disorders originating in the perinatal period (P90-P96)

Disorders related to length of gestation and fetal growth (P05-P08)

Malnutrition (E40-E46)

Fetus and newborn affected by maternal factors and by complications of pregnancy, labour and delivery (P00-P04)

Infections specific to the perinatal period (P35-P39)

Certain disorders involving the immune mechanism (D80-D89) Other acute lower respiratory infections (J20-J22)

3

4

5

6

7

8

9 10

*Including deaths due to MDR-TB and XDR-TB.

All causes

1 340

398

304

27

27

32

39

40

41

58

73

113

Non-natural causes

Other diseases of the respiratory system (J95-J99)

9

No.

188

Other natural causes

Inflammatory diseases of the central nervous system (G00-G09)

Certain disorders involving the immune mechanism (D80-D89)

Other viral diseases (B25-B34)

7

9

Other acute lower respiratory infections (J20-J22)

6

8

Malnutrition (E40-E46)

Human immunodeficiency virus [HIV] disease (B20-B24)

5

3

4

Influenza and pneumonia (J09-J18)

Tuberculosis (A15-A19)*

2

Intestinal infectious diseases (A00-A09)

All Mpumalanga, both sexes, 1–14

1

2 036

89

Non-natural causes

All causes

566

Other natural causes

41 39

51

86

87

233

294

Respiratory and cardiovascular disorders specific to the perinatal period (P20-P29)

2

397

Intestinal infectious diseases (A00-A09)

No.

35 002

1

All Mpumalanga, both sexes, Age 0

All causes

3 708

Intestinal infectious diseases (A00-A09)

8

1 547

1 563

1 660

1 822

13 311

Other viral diseases (B25-B34)

7

2 098

1 958

Non-natural causes

Hypertensive diseases (I10-I15)

6

No.

3 445

Other natural causes

Cerebrovascular diseases (I60-I69)

Diabetes mellitus (E10-E14)

Influenza and pneumonia (J09-J18)

3

5

Human immunodeficiency virus [HIV] disease (B20-B24)

2

4

Tuberculosis (A15-A19)*

1

Mpumalanga, both sexes, all ages

100,0

22,7

29,7

2,0

2,0

2,4

2,9

3,0

3,1

4,3

5,4

8,4

14,0

%

100,0

4,4

27,8

2,0 1,9

2,5

3,3

4,2

4,2

4,3

11,4

14,4

19,5

%

100,0

10,6

38,0

2,4

4,3

4,4

4,4

4,5

4,7

5,2

5,6

6,0

9,8

%

8

8

8

7

5

5

4

3

2

1

9 9

8

7

6

5

4

3

2

1

10

9

8

7

6

5

4

3

2

1

All causes

Non-natural causes

Other natural causes

Other diseases of the respiratory system (J95-J99)

Other acute lower respiratory infections (J20-J22)

Other forms of heart disease (I30-I52)

Inflammatory diseases of the central nervous system (G00-G09)

Other viral diseases (B25-B34)

Human immunodeficiency virus [HIV] disease (B20-B24)

Malnutrition (E40-E46)

Tuberculosis (A15-A19)*

Influenza and pneumonia (J09-J18)

Intestinal infectious diseases (A00-A09)

All Mpumalanga, males, 1–14

All causes

Non-natural causes

Other natural causes

Other bacterial diseases (A30-A49) Other acute lower respiratory infections (J20-J22)

Infections specific to the perinatal period (P35-P39)

Fetus and newborn affected by maternal factors and by complications of pregnancy, labour and delivery (P00-P04)

Malnutrition (E40-E46)

Disorders related to length of gestation and fetal growth (P05-P08)

Other disorders originating in the perinatal period (P90-P96)

Influenza and pneumonia (J09-J18)

Respiratory and cardiovascular disorders specific to the perinatal period (P20-P29)

Intestinal infectious diseases (A00-A09)

All Mpumalanga, males, Age 0

All causes

Non-natural causes

Other natural causes

Chronic lower respiratory diseases (J40-J47)

Diabetes mellitus (E10-E14)

Hypertensive diseases (I10-I15)

Other forms of heart disease (I30-I52)

Intestinal infectious diseases (A00-A09)

Other viral diseases (B25-B34)

Cerebrovascular diseases (I60-I69)

Influenza and pneumonia (J09-J18)

Human immunodeficiency virus [HIV] disease (B20-B24)

Tuberculosis (A15-A19)*

Mpumalanga, males, all ages

%

100,0

24,8

27,9

2,2

2,2

2,2

2,6

3,0

3,0

4,1

5,0

7,8

15,3

%

100,0

4,5

28,6

2,1 2,1

2,5

2,8

3,7

4,2

4,7

11,6

13,1

20,2

%

100,0

15,4

36,4

2,4

3,3

3,3

3,8

4,0

4,1

4,2

5,6

6,3

11,1

10

9

8

7

6

5

4

3

2

1

9 10

8

7

6

5

4

3

2

1

10

9

8

7

6

5

4

3

2

1

Mpumalanga, females, all ages

No.

All causes

Non-natural causes

Other natural causes

Certain disorders involving the immune mechanism (D80-D89)

Episodic and paroxysmal disorders (G40-G47)

Other bacterial diseases (A30-A49)

Other viral diseases (B25-B34)

Human immunodeficiency virus [HIV] disease (B20-B24)

Other acute lower respiratory infections (J20-J22)

Malnutrition (E40-E46)

Tuberculosis (A15-A19)*

Influenza and pneumonia (J09-J18)

Intestinal infectious diseases (A00-A09)

All Mpumalanga, females, 1–14

All causes

Non-natural causes

Other natural causes

Certain disorders involving the immune mechanism (D80-D89) Other acute lower respiratory infections (J20-J22)

Infections specific to the perinatal period (P35-P39)

Other disorders originating in the perinatal period (P90-P96)

599

122

181

13

14

16

17

19

24

27

36

56

74

No.

948

40

254

21 16

24

33

35

Fetus and newborn affected by maternal factors and by complications of pregnancy, labour and delivery (P00-P04)

46 40

Disorders related to length of gestation and fetal growth (P05-P08)

Malnutrition (E40-E46)

109

148

Respiratory and cardiovascular disorders specific to the perinatal period (P20P29) Influenza and pneumonia (J09-J18)

182

No.

16 637

881

6 589

439

786

797

810

930

940

950

1 050

1 058

1 407

Intestinal infectious diseases (A00-A09)

All Mpumalanga, females, Age 0

All causes

Non-natural causes

Other natural causes

Certain disorders involving the immune mechanism (D80-D89)

Other viral diseases (B25-B34)

Intestinal infectious diseases (A00-A09)

Other forms of heart disease (I30-I52)

Influenza and pneumonia (J09-J18)

Human immunodeficiency virus [HIV] disease (B20-B24)

Hypertensive diseases (I10-I15)

Cerebrovascular diseases (I60-I69)

Diabetes mellitus (E10-E14)

Tuberculosis (A15-A19)*

P0309.3

Mortality and causes of death in South Africa, 2014: Findings from death notification

734

182

205

16

16

16

19

22

22

30

37

57

112

No.

1 056

48

302

22 22

26

30

39

44

50

122

138

213

No.

18 244

2 818

6 637

435

602

611

690

730

756

766

1 021

1 150

2 028

No.

Appendix M8: The ten leading underlying natural causes of death by age and sex: Mpumalanga, 2014

Statistics South Africa

%

100,0

20,4

30,2

2,2

2,3

2,7

2,8

3,2

4,0

4,5

6,0

9,3

12,4

%

100,0

4,2

26,8

2,2 1,7

2,5

3,5

3,7

4,2

4,9

11,5

15,6

19,2

%

100,0

5,3

39,6

2,6

4,7

4,8

4,9

5,6

5,7

5,7

6,3

6,4

8,5

108

Other acute lower respiratory infections (J20-J22)

7

No.

2 353

*Including deaths due to MDR-TB and XDR-TB.

9 797

270

All causes

Non-natural causes

202

272

331

355

367

490

806

913

1 035

3 625

Other acute lower respiratory infections (J20-J22)

10

No.

1 131

Other natural causes

Intestinal infectious diseases (A00-A09)

9

6

Tuberculosis (A15-A19)*

Ischaemic heart diseases (I20-I25)

5

Chronic lower respiratory diseases (J40-J47)

Influenza and pneumonia (J09-J18)

4

8

Other forms of heart disease (I30-I52)

3

7

Hypertensive diseases (I10-I15)

Diabetes mellitus (E10-E14)

2

Cerebrovascular diseases (I60-I69)

All Mpumalanga, both sexes, 65+

1

9 815

671

All causes

3 868

262

301

435

441

470

525

525

611

617

Non-natural causes

Ischaemic heart diseases (I20-I25)

10

No.

1 089

Other natural causes

Other forms of heart disease (I30-I52)

Intestinal infectious diseases (A00-A09)

Hypertensive diseases (I10-I15)

7

9

Other viral diseases (B25-B34)

6

8

Cerebrovascular diseases (I60-I69)

Influenza and pneumonia (J09-J18)

5

Diabetes mellitus (E10-E14)

3

4

Human immunodeficiency virus [HIV] disease (B20-B24)

2

All Mpumalanga, both sexes, 45–64

Tuberculosis (A15-A19)*

1

11 924

Non-natural causes

All causes

3 054

179

191

225

277

372

488

592

956

1 335

1 902

Other natural causes

Protozoal diseases (B50-B64)

Intestinal infectious diseases (A00-A09)

6

10

Certain disorders involving the immune mechanism (D80-D89)

5

Other forms of heart disease (I30-I52)

Influenza and pneumonia (J09-J18)

4

Inflammatory diseases of the central nervous system (G00-G09)

Other viral diseases (B25-B34)

3

9

Human immunodeficiency virus [HIV] disease (B20-B24)

2

8

Tuberculosis (A15-A19)*

1

Mpumalanga, both sexes, 15−44

100,0

2,8

37,0

2,1

2,8

3,4

3,6

3,7

5,0

8,2

9,3

10,6

11,5

%

100,0

6,8

39,4

2,7

3,1

4,4

4,5

4,8

5,3

5,3

6,2

6,3

11,1

%

100,0

19,7

25,6

1,5

1,6

1,9

2,3

3,1

4,1

5,0

8,0

11,2

16,0

%

10

9

8

7

6

5

4

3

2

1

10

9

8

7

6

5

4

3

2

1

10

9

8

7

6

5

4

3

2

1

All causes

Non-natural causes

Other natural causes

Other acute lower respiratory infections (J20-J22)

Malignant neoplasms of male genital organs (C60-C63)

Ischaemic heart diseases (I20-I25)

Chronic lower respiratory diseases (J40-J47)

Influenza and pneumonia (J09-J18)

Tuberculosis (A15-A19)*

Diabetes mellitus (E10-E14)

Other forms of heart disease (I30-I52)

Hypertensive diseases (I10-I15)

Cerebrovascular diseases (I60-I69)

All Mpumalanga, males, 65+

All causes

Non-natural causes

Other natural causes

Ischaemic heart diseases (I20-I25)

Chronic lower respiratory diseases (J40-J47)

Hypertensive diseases (I10-I15)

Other forms of heart disease (I30-I52)

Diabetes mellitus (E10-E14)

Other viral diseases (B25-B34)

Cerebrovascular diseases (I60-I69)

Influenza and pneumonia (J09-J18)

Human immunodeficiency virus [HIV] disease (B20-B24)

Tuberculosis (A15-A19)*

All Mpumalanga, males, 45–64

All causes

Non-natural causes

Other natural causes

Cerebrovascular diseases (I60-I69)

Inflammatory diseases of the central nervous system (G00-G09)

Other forms of heart disease (I30-I52)

Other acute lower respiratory infections (J20-J22)

Intestinal infectious diseases (A00-A09)

Certain disorders involving the immune mechanism (D80-D89)

Influenza and pneumonia (J09-J18)

Other viral diseases (B25-B34)

Human immunodeficiency virus [HIV] disease (B20-B24)

Tuberculosis (A15-A19)*

Mpumalanga, males, 15−44

%

100,0

3,5

37,6

2,3

3,3

4,2

5,1

5,4

5,5

7,3

7,6

8,6

9,7

%

100,0

9,1

38,0

2,9

2,9

3,5

4,2

4,3

4,7

5,0

5,7

6,6

13,1

%

100,0

29,4

21,9

1,0

1,4

1,6

1,9

2,4

3,3

4,5

6,5

10,7

15,4

10

9

8

7

6

5

4

3

2

1

10

9

8

6

6

5

4

3

2

1

10

9

8

7

6

5

4

3

2

1

Mpumalanga, females, 15−44

All causes

Non-natural causes

Other natural causes

Malignant neoplasms of female genital organs (C51-C58)

Chronic lower respiratory diseases (J40-J47)

Tuberculosis (A15-A19)*

Intestinal infectious diseases (A00-A09)

Ischaemic heart diseases (I20-I25)

Influenza and pneumonia (J09-J18)

Other forms of heart disease (I30-I52)

Diabetes mellitus (E10-E14)

Hypertensive diseases (I10-I15)

Cerebrovascular diseases (I60-I69)

All Mpumalanga, females, 65+

All causes

Non-natural causes

Other natural causes

Intestinal infectious diseases (A00-A09)

Malignant neoplasms of female genital organs (C51-C58)

Other forms of heart disease (I30-I52)

Influenza and pneumonia (J09-J18)

Other viral diseases (B25-B34)

Hypertensive diseases (I10-I15)

Cerebrovascular diseases (I60-I69)

Human immunodeficiency virus [HIV] disease (B20-B24)

Tuberculosis (A15-A19)*

Diabetes mellitus (E10-E14)

All Mpumalanga, females, 45–64

All causes

Non-natural causes

Other natural causes

Malignant neoplasms of female genital organs (C51-C58)

Protozoal diseases (B50-B64)

Other forms of heart disease (I30-I52)

Other acute lower respiratory infections (J20-J22)

Intestinal infectious diseases (A00-A09)

Certain disorders involving the immune mechanism (D80-D89)

Influenza and pneumonia (J09-J18)

Other viral diseases (B25-B34)

Human immunodeficiency virus [HIV] disease (B20-B24)

Tuberculosis (A15-A19)*

5 562

123

1 981

115

117

122

177

190

262

484

603

669

719

No.

4 120

153

1 607

150

176

193

202

202

239

242

244

345

367

No.

5 397

442

1 613

107

118

119

148

214

272

301

528

638

897

No.

P0309.3

Mortality and causes of death in South Africa, 2014: Findings from death notification

4 222

147

1 586

97

138

177

214

226

232

310

321

365

409

No.

5 676

518

2 157

166

167

201

238

244

267

281

323

372

742

No.

6 494

1 906

1 421

68

88

105

126

158

215

289

425

693

1 000

No.

Appendix M8: The ten leading underlying natural causes of death by age and sex: Mpumalanga, 2014 (concluded)

Statistics South Africa

%

100,0

2,2

35,6

2,1

2,1

2,2

3,2

3,4

4,7

8,7

10,8

12,0

12,9

%

100,0

3,7

39,0

3,6

4,3

4,7

4,9

4,9

5,8

5,9

5,9

8,4

8,9

%

100,0

8,2

29,9

2,0

2,2

2,2

2,7

4,0

5,0

5,6

9,8

11,8

16,6

109

Cerebrovascular diseases (I60-I69)

Hypertensive diseases (I10-I15)

Other forms of heart disease (I30-I52)

Other viral diseases (B25-B34)

Human immunodeficiency virus [HIV] disease (B20-B24)

Renal failure (N17-N19)

5

6

7

8

9

10

2 684

1 085

1 407

1 936

1 982

2 024

2 237

409

120

100

Respiratory and cardiovascular disorders specific to the perinatal period (P20P29)

Other disorders originating in the perinatal period (P90-P96)

Disorders related to length of gestation and fetal growth (P05-P08)

Fetus and newborn affected by maternal factors and by complications of pregnancy, labour and delivery (P00-P04)

Malnutrition (E40-E46)

Inflammatory diseases of the central nervous system (G00-G09)

Infections specific to the perinatal period (P35-P39) Other viral diseases (B25-B34)

3

4

5

6

7

8

8 10

33

33

Malnutrition (E40-E46)

Tuberculosis (A15-A19)*

Other viral diseases (B25-B34)

Inflammatory diseases of the central nervous system (G00-G09)

Other forms of heart disease (I30-I52)

Other bacterial diseases (A30-A49)

Human immunodeficiency virus [HIV] disease (B20-B24)

Cerebral palsy and other paralytic syndromes (G80-G83)

3

4

5

6

7

8

8

10

*Including deaths due to MDR-TB and XDR-TB.

2 283

Non-natural causes

All causes

774

374

Other natural causes

32

37

58

68

98

130

285

Influenza and pneumonia (J09-J18)

2

No.

361

Intestinal infectious diseases (A00-A09)

1

All Limpopo, both sexes, 1–14

3 144

145

Non-natural causes

All causes

1 015

Other natural causes

68 55

68

84

146

453

Influenza and pneumonia (J09-J18)

2

481

Intestinal infectious diseases (A00-A09)

No.

47 849

1

All Limpopo, both sexes, Age 0

All causes

3 952

Diabetes mellitus (E10-E14)

4

2 767

3 545

20 319

Intestinal infectious diseases (A00-A09)

3

Non-natural causes

Tuberculosis (A15-A19)*

2

No.

3 911

Other natural causes

Influenza and pneumonia (J09-J18)

1

Limpopo, both sexes, all ages

100,0

16,4

33,9

1,4

1,4

1,4

1,6

2,5

3,0

4,3

5,7

12,5

15,8

%

100,0

4,6

32,3

2,2 1,7

2,2

2,7

3,2

3,8

4,6

13,0

14,4

15,3

%

100,0

8,3

42,5

2,3

2,9

4,0

4,1

4,2

4,7

5,6

5,8

7,4

8,2

%

8

8

8

7

6

5

4

3

2

1

8 10

8

7

6

5

4

3

2

1

10

9

8

7

6

5

4

3

2

1

No.

All causes

Non-natural causes

Other natural causes

Episodic and paroxysmal disorders (G40-G47)

Human immunodeficiency virus [HIV] disease (B20-B24)

Other bacterial diseases (A30-A49)

Cerebral palsy and other paralytic syndromes (G80-G83)

Inflammatory diseases of the central nervous system (G00-G09)

Other viral diseases (B25-B34)

Tuberculosis (A15-A19)*

Malnutrition (E40-E46)

Influenza and pneumonia (J09-J18)

Intestinal infectious diseases (A00-A09)

All Limpopo, males, 1–14

All causes

Non-natural causes

Other natural causes

Infections specific to the perinatal period (P35-P39) Haemorrhagic and haematological disorders of fetus and newborn (P50-P61)

Inflammatory diseases of the central nervous system (G00-G09)

Malnutrition (E40-E46)

Fetus and newborn affected by maternal factors and by complications of pregnancy, labour and delivery (P00-P04)

Disorders related to length of gestation and fetal growth (P05-P08)

Other disorders originating in the perinatal period (P90-P96)

%

100,0

18,1

33,0

1,2

1,2

1,2

1,4

2,4

3,0

3,9

5,8

11,8

16,8

%

100,0

5,0

31,8

2,1 1,9

2,1

2,9

3,0

3,9

5,0

12,7

13,7

16,1

%

100,0

12,1

41,1

2,3

2,8

3,6

3,7

3,8

3,9

4,6

5,6

8,0

8,6

10

8

8

7

6

5

4

3

2

1

9 10

8

7

6

5

4

3

2

1

10

9

8

7

6

5

4

3

2

1

All causes

Non-natural causes

Other natural causes

Cerebral palsy and other paralytic syndromes (G80-G83)

Human immunodeficiency virus [HIV] disease (B20-B24)

Other bacterial diseases (A30-A49)

Other forms of heart disease (I30-I52)

Inflammatory diseases of the central nervous system (G00-G09)

Other viral diseases (B25-B34)

Tuberculosis (A15-A19)*

Malnutrition (E40-E46)

Influenza and pneumonia (J09-J18)

Intestinal infectious diseases (A00-A09)

All Limpopo, females, 1–14

All causes

Non-natural causes

Other natural causes

Infections specific to the perinatal period (P35-P39) Other viral diseases (B25-B34)

Inflammatory diseases of the central nervous system (G00-G09)

Malnutrition (E40-E46)

Fetus and newborn affected by maternal factors and by complications of pregnancy, labour and delivery (P00-P04)

Disorders related to length of gestation and fetal growth (P05-P08)

Other disorders originating in the perinatal period (P90-P96)

Respiratory and cardiovascular disorders specific to the perinatal period (P20P29)

Intestinal infectious diseases (A00-A09)

Influenza and pneumonia (J09-J18)

All Limpopo, females, Age 0

All causes

Non-natural causes

Other natural causes

Malignant neoplasms of female genital organs (C51-C58)

Human immunodeficiency virus [HIV] disease (B20-B24)

Other viral diseases (B25-B34)

Other forms of heart disease (I30-I52)

Hypertensive diseases (I10-I15)

Cerebrovascular diseases (I60-I69)

Intestinal infectious diseases (A00-A09)

Tuberculosis (A15-A19)*

Diabetes mellitus (E10-E14)

Influenza and pneumonia (J09-J18)

Limpopo, females, all ages

1 050

149

366

15

18

18

22

28

31

50

59

140

154

No.

1 430

58

468

31 28

33

36

49

52

55

174

209

237

No.

24 102

1 073

10 544

570

738

1 054

1 091

1 162

1 319

1 432

1 507

1 590

2 022

No.

P0309.3

Mortality and causes of death in South Africa, 2014: Findings from death notification

1 226

222

405

15

15

15

17

30

37

48

71

145

206

No.

1 674

84

533

35 31

35

48

50

65

83

212

229

Respiratory and cardiovascular disorders specific to the perinatal period (P20P29) Influenza and pneumonia (J09-J18)

269

No.

23 633

2 855

9 705

533

666

860

877

888

917

1 092

1 325

1 883

2 032

Intestinal infectious diseases (A00-A09)

All Limpopo, males, Age 0

All causes

Non-natural causes

Other natural causes

Renal failure (N17-N19)

Human immunodeficiency virus [HIV] disease (B20-B24)

Hypertensive diseases (I10-I15)

Other viral diseases (B25-B34)

Other forms of heart disease (I30-I52)

Cerebrovascular diseases (I60-I69)

Diabetes mellitus (E10-E14)

Intestinal infectious diseases (A00-A09)

Influenza and pneumonia (J09-J18)

Tuberculosis (A15-A19)*

Limpopo, males, all ages

Appendix M9: The ten leading underlying natural causes of death by age and sex: Limpopo, 2014

Statistics South Africa

%

100,0

14,2

34,9

1,4

1,7

1,7

2,1

2,7

3,0

4,8

5,6

13,3

14,7

%

100,0

4,1

32,7

2,2 2,0

2,3

2,5

3,4

3,6

3,8

12,2

14,6

16,6

%

100,0

4,5

43,7

2,4

3,1

4,4

4,5

4,8

5,5

5,9

6,3

6,6

8,4

110

291

252

Influenza and pneumonia (J09-J18)

Human immunodeficiency virus [HIV] disease (B20-B24)

Intestinal infectious diseases (A00-A09)

Certain disorders involving the immune mechanism (D80-D89)

Inflammatory diseases of the central nervous system (G00-G09)

Other forms of heart disease (I30-I52)

Protozoal diseases (B50-B64)

Diabetes mellitus (E10-E14)

3

4

5

6

7

8

9

10

472

432

Influenza and pneumonia (J09-J18)

Other viral diseases (B25-B34)

Cerebrovascular diseases (I60-I69)

Hypertensive diseases (I10-I15)

Intestinal infectious diseases (A00-A09)

Human immunodeficiency virus [HIV] disease (B20-B24)

Other forms of heart disease (I30-I52)

Renal failure (N17-N19)

3

4

5

6

7

8

9

10

*Including deaths due to MDR-TB and XDR-TB.

All causes

17 197

418

304

Non-natural causes

10

408

432

499

713

1 199

1 279

1 363

1 516

7 510

Inflammatory diseases of the central nervous system (G00-G09)

9

No.

1 556

Other natural causes

Chronic lower respiratory diseases (J40-J47)

Tuberculosis (A15-A19)*

8

Intestinal infectious diseases (A00-A09)

Other forms of heart disease (I30-I52)

5

Renal failure (N17-N19)

Influenza and pneumonia (J09-J18)

4

7

Hypertensive diseases (I10-I15)

3

6

Cerebrovascular diseases (I60-I69)

2

All Limpopo, both sexes, 65+

Diabetes mellitus (E10-E14)

1

12 200

756

Non-natural causes

All causes

4 936

Other natural causes

321

544

550

558

609

874

904

Diabetes mellitus (E10-E14)

2

No.

1 244

Tuberculosis (A15-A19)*

1

All Limpopo, both sexes, 45–64

12 956

Non-natural causes

All causes

3 838

2 233

Other natural causes

218

315

444

665

828

1 019

1 104

Other viral diseases (B25-B34)

2

No.

1 749

Tuberculosis (A15-A19)*

1

Limpopo, both sexes, 15−44

100,0

2,4

43,7

1,8

2,4

2,5

2,9

4,1

7,0

7,4

7,9

8,8

9,0

%

100,0

6,2

40,5

2,6

3,5

3,9

4,5

4,5

4,6

5,0

7,2

7,4

10,2

%

100,0

17,2

29,6

1,7

1,9

2,2

2,4

3,4

5,1

6,4

7,9

8,5

13,5

%

10

9

8

7

6

5

4

3

2

1

10

9

8

7

6

5

4

3

2

1

10

9

8

7

6

5

4

3

2

1

All causes

Non-natural causes

Other natural causes

Malignant neoplasms of male genital organs (C60-C63)

Renal failure (N17-N19)

Intestinal infectious diseases (A00-A09)

Chronic lower respiratory diseases (J40-J47)

Tuberculosis (A15-A19)*

Other forms of heart disease (I30-I52)

Hypertensive diseases (I10-I15)

Cerebrovascular diseases (I60-I69)

Influenza and pneumonia (J09-J18)

Diabetes mellitus (E10-E14)

All Limpopo, males, 65+

All causes

Non-natural causes

Other natural causes

Chronic lower respiratory diseases (J40-J47)

Other forms of heart disease (I30-I52)

Human immunodeficiency virus [HIV] disease (B20-B24)

Hypertensive diseases (I10-I15)

Intestinal infectious diseases (A00-A09)

Cerebrovascular diseases (I60-I69)

Other viral diseases (B25-B34)

Diabetes mellitus (E10-E14)

Influenza and pneumonia (J09-J18)

Tuberculosis (A15-A19)*

All Limpopo, males, 45–64

All causes

Non-natural causes

Other natural causes

Protozoal diseases (B50-B64)

Diabetes mellitus (E10-E14)

Other forms of heart disease (I30-I52)

Inflammatory diseases of the central nervous system (G00-G09)

Certain disorders involving the immune mechanism (D80-D89)

Intestinal infectious diseases (A00-A09)

Human immunodeficiency virus [HIV] disease (B20-B24)

Influenza and pneumonia (J09-J18)

Other viral diseases (B25-B34)

Tuberculosis (A15-A19)*

Limpopo, males, 15−44

%

100,0

2,8

42,7

2,5

3,3

3,7

4,0

4,0

6,7

7,3

7,4

7,7

7,8

%

100,0

7,7

39,4

2,7

3,6

4,0

4,1

4,1

4,3

4,5

6,1

7,6

12,0

%

100,0

27,8

25,9

1,5

1,6

2,1

2,2

2,9

4,5

5,2

6,8

6,9

12,7

10

9

8

7

6

5

4

3

2

1

10

9

8

7

6

5

4

3

2

1

10

9

8

7

6

5

4

3

2

1

Limpopo, females, 15−44

All causes

Non-natural causes

Other natural causes

Other bacterial diseases (A30-A49)

Inflammatory diseases of the central nervous system (G00-G09)

Malignant neoplasms of female genital organs (C51-C58)

Renal failure (N17-N19)

Intestinal infectious diseases (A00-A09)

Other forms of heart disease (I30-I52)

Influenza and pneumonia (J09-J18)

Hypertensive diseases (I10-I15)

Cerebrovascular diseases (I60-I69)

Diabetes mellitus (E10-E14)

All Limpopo, females, 65+

All causes

Non-natural causes

Other natural causes

Other forms of heart disease (I30-I52)

Human immunodeficiency virus [HIV] disease (B20-B24)

Malignant neoplasms of female genital organs (C51-C58)

Intestinal infectious diseases (A00-A09)

Cerebrovascular diseases (I60-I69)

Hypertensive diseases (I10-I15)

Other viral diseases (B25-B34)

Influenza and pneumonia (J09-J18)

Tuberculosis (A15-A19)*

Diabetes mellitus (E10-E14)

All Limpopo, females, 45–64

All causes

Non-natural causes

Other natural causes

Malignant neoplasms of female genital organs (C51-C58)

Protozoal diseases (B50-B64)

Other forms of heart disease (I30-I52)

Inflammatory diseases of the central nervous system (G00-G09)

Certain disorders involving the immune mechanism (D80-D89)

Intestinal infectious diseases (A00-A09)

Human immunodeficiency virus [HIV] disease (B20-B24)

Influenza and pneumonia (J09-J18)

Other viral diseases (B25-B34)

Tuberculosis (A15-A19)*

10 021

214

4 268

175

192

200

261

448

718

728

837

983

997

No.

5 036

200

2 008

175

188

240

248

250

258

287

330

381

471

No.

6 547

449

2 173

129

156

159

176

259

372

494

586

660

934

No.

%

100,0

2,1

42,6

1,7

1,9

2,0

2,6

4,5

7,2

7,3

8,4

9,8

9,9

%

100,0

4,0

39,9

3,5

3,7

4,8

4,9

5,0

5,1

5,7

6,6

7,6

9,4

%

100,0

6,9

33,2

2,0

2,4

2,4

2,7

4,0

5,7

7,5

9,0

10,1

14,3

P0309.3

Mortality and causes of death in South Africa, 2014: Findings from death notification

7 166

202

3 062

177

238

265

286

290

480

526

532

551

557

No.

7 151

553

2 816

191

256

284

290

295

308

320

433

544

861

No.

6 381

1 776

1 650

96

100

131

138

185

289

331

431

442

812

No.

Appendix M9: The ten leading underlying natural causes of death by age and sex: Limpopo, 2014 (concluded)

Statistics South Africa

111 P0309.3

115

112

7 979

55

6 916

Unspecified

Buffalo City

126

Unspecified

645

600

Pixley ka Seme

Siyanda

Total

3 247

33

194

131

Unspecified

115

901

1 354

16

265

246

518

937

5 095

59

592

1 333

196

490

339

1 234

756

96

436

Frances Baard John Taolo Gaetsewe Namakwa

14 111

3 562

Total

2 039

O.R.Tambo

858

Joe Gqabi

Nelson Mandela Bay

2 055

Chris Hani

696

2 333

1 763

Amathole

Cacadu

679

Alfred Nzo

Total

80

474

West Coast

941 357

778

187

4 938

Overberg

4 156

1 115

C00-D48

A00-B99*

1 151

Neoplasms

Eden

City of Cape Town

Central Karoo

Cape Winelands

District municipality of death occurrence

*Including deaths due to MDR-TB and XDR-TB.

Northern Cape

Eastern Cape

Western Cape

Province of death

Certain infectious and parasitic diseases

313

2

91

91

9

33

87

1 176

9

178

235

151

155

82

167

143

56

350

3

32

29

53

176

22

35

D50-D89

Diseases of the blood and immune mechanism

887

7

191

185

85

136

283

3 807

48

566

937

168

562

233

546

657

90

3 518

44

166

142

359

2 276

45

486

E00-E90

Endocrine, nutritional and metabolic diseases

280

3

71

74

13

41

78

1 490

26

266

242

69

229

75

191

324

68

1 025

14

50

52

122

646

17

124

G00-G99

Diseases of the nervous system

1 601

21

387

363

155

325

350

6 288

138

842

911

309

991

404

870

1 576

247

3 583

41

256

179

463

1 966

84

594

J00-J99

Diseases of the respiratory system

343

5

66

72

16

40

144

1 528

17

340

301

71

204

88

215

239

53

993

9

49

41

138

600

14

142

K00-K93

Diseases of the digestive system

357

5

66

65

24

115

82

574

3

49

208

37

99

31

61

43

43

726

4

27

27

92

477

14

85

P00-P96

Perinatal conditions

1 560

40

241

295

89

356

539

14 835

378

4 589

944

1 511

1 511

500

926

1 710

2 766

4 265

67

240

234

303

2 763

51

607

Other

Other natural causes

1 562

49

334

403

152

230

394

7 243

151

1 579

986

363

891

430

1 061

1 249

533

6 031

137

316

235

466

4 031

99

747

V01-Y98

External causes of morbidity and mortality

14 056

211

2 862

3 041

1 153

2 653

4 136

66 553

1 152

13 998

10 157

4 260

8 733

3 559

8 638

11 125

4 931

44 020

545

2 575

1 877

4 854

27 127

709

6 333

Total

Mortality and causes of death in South Africa, 2014: Findings from death notification

2 552

30

550

602

285

361

724

10 406

197

1 435

2 021

527

1 546

681

1 604

2 095

300

8 634

91

529

394

1 139

5 098

136

1 247

I00-I99

Diseases of the circulatory system

Appendix N: Number of deaths by main groups of causes of death and district municipality of death occurrence (Western Cape, Eastern Cape and Northern Cape), 2014

Statistics South Africa

112 P0309.3

2 374

Thabo Mofutsanyane

88

1 845

Uthungulu

Zululand

380

422

1 800

Total

8 060

2 326

40

290

1 621

177

656 918

2 337

2 125

Bojanala

Dr Kenneth Kaunda Dr Ruth Segomotsi Mompati Ngaka Modiri Molema

Unspecified

5 733

112

311

632

455

253

214

1 092

558

217

340

1 379

170

2 386

29

116

486

1 009

21 535

Total

585

2 199

Uthukela

Unspecified

1 338

2 741

Umzinyathi

2 525

2 147

Ugu

1 192

1 234

Sisonke

Umkhanyakude

1 263

iLembe

UMgungundlovu

566

3 900

eThekwini

7 339

Amajuba

Total

Unspecified

366

1 764

Mangaung

Xhariep

1 586

Lejweleputswa

366

C00-D48

A00-B99*

1 161

Neoplasms

Fezile Dabi

District municipality of death occurrence

*Including deaths due to MDR-TB and XDR-TB.

North West

KwaZuluNatal

Free State

Province of death

Certain infectious and parasitic diseases

992

10

304

166

179

333

1 429

24

159

182

92

75

44

141

127

91

88

369

37

1 010

12

53

314

243

246

142

D50-D89

Diseases of the blood and immune mechanism

2 069

42

530

326

414

757

5 932

184

413

562

529

283

216

1 028

608

305

335

1 281

188

2 290

28

104

693

518

498

449

E00-E90

Endocrine, nutritional and metabolic diseases

556

13

154

108

138

143

1 775

74

141

185

200

89

63

213

172

78

106

386

68

606

18

41

150

166

135

96

G00-G99

Diseases of the nervous system

3 771

118

1 109

595

700

1 249

6 343

269

466

501

714

452

179

737

755

361

319

1 222

368

3 829

59

230

958

772

1 072

738

J00-J99

Diseases of the respiratory system

851

15

180

115

264

277

2 172

55

161

238

264

102

78

345

173

101

114

462

79

956

18

47

261

236

210

184

K00-K93

Diseases of the digestive system

902

21

263

204

216

198

1 861

17

177

338

98

147

69

175

147

67

120

392

114

759

7

24

234

189

203

102

P00-P96

Perinatal conditions

6 033

275

1 935

670

1 101

2 052

10 052

445

785

892

578

542

555

1 450

866

824

442

2 435

238

4 707

105

358

1 025

1 749

991

479

Other

Other natural causes

2 872

164

609

337

669

1 093

8 347

471

577

888

679

425

357

1 118

864

398

431

1 726

413

3 165

68

294

720

874

709

500

V01-Y98

External causes of morbidity and mortality

34 933

1 114

9 053

5 483

8 003

11 280

79 138

2 884

5 881

7 771

7 904

4 515

3 471

10 784

7 782

4 349

4 366

16 604

2 827

33 045

535

2 051

8 954

8 879

7 241

5 385

Total

Mortality and causes of death in South Africa, 2014: Findings from death notification

6 501

239

1 747

1 051

1 279

2 185

13 959

648

846

1 154

1 554

809

504

1 960

1 365

673

808

3 052

586

5 998

103

418

1 739

1 359

1 211

1 168

I00-I99

Diseases of the circulatory system

Appendix N1: Number of deaths by main groups of causes of death and district municipality of death occurrence (Free State, KwaZulu-Natal and North West), 2014

Statistics South Africa

113 P0309.3

274

Unspecified

10 904

474

Unspecified

Total

1 346

2 070

Mopani

Waterberg

2 618

Greater Sekhukhune

1 637

2 759

Capricorn

Vhembe

9 546

227

Unspecified

Total

2 220

2 777

Gert Sibande

Nkangala

4 322

Ehlanzeni

16 896

1 361

West Rand

Total

1 709

4 408

Ekurhuleni

Sedibeng

4 304

City of Tshwane

2 616

67

340

462

418

383

946

1 903

65

481

461

896

9 664

176

734

676

1 673

2 939

3 466

C00-D48

A00-B99*

4 840

Neoplasms

City of Johannesburg

District municipality of death occurrence

*Including deaths due to MDR-TB and XDR-TB.

Limpopo

Mpumalanga

Gauteng

Province of death

Certain infectious and parasitic diseases

999

21

157

243

229

160

189

1 130

19

265

435

411

2 169

28

226

221

639

456

599

D50-D89

Diseases of the blood and immune mechanism

3 427

144

367

693

661

617

945

2 221

92

660

631

838

5 419

76

516

486

1 327

1 660

1 354

E00-E90

Endocrine, nutritional and metabolic diseases

1 393

129

98

112

543

247

264

717

27

188

175

327

2 400

58

198

246

563

610

725

G00-G99

Diseases of the nervous system

5 830

420

644

550

1 131

1 626

1 459

3 871

176

1 539

1 022

1 134

10 101

233

958

1 321

2 658

2 379

2 552

J00-J99

Diseases of the respiratory system

1 346

54

143

254

222

278

395

945

35

255

244

411

2 768

64

246

273

672

728

785

K00-K93

Diseases of the digestive system

921

18

110

144

281

83

285

642

8

170

253

211

2 606

42

172

233

779

479

901

P00-P96

Perinatal conditions

9 456

661

487

3 540

1 835

887

2 046

4 437

266

1 303

1 268

1 600

17 276

570

1 588

990

4 760

2 634

6 734

Other

Other natural causes

3 952

306

491

769

641

715

1 030

3 708

221

1 225

1 022

1 240

10 425

672

1 028

1 037

2 428

2 061

3 199

V01-Y98

External causes of morbidity and mortality

47 849

2 745

5 132

9 261

9 190

9 244

12 277

35 002

1 437

10 319

9 759

13 487

96 736

2 599

8 576

9 137

23 558

23 221

29 645

Total

Mortality and causes of death in South Africa, 2014: Findings from death notification

7 005

451

949

857

1 159

1 630

1 959

5 882

301

2 013

1 471

2 097

17 012

406

1 549

1 945

3 651

4 971

4 490

I00-I99

Diseases of the circulatory system

Appendix N2: Number of deaths by main groups of causes of death and district municipality of death occurrence (Gauteng, Mpumalanga and Limpopo), 2014

Statistics South Africa

114 P0309.3

13,8 21,0 20,4 19,6 23,5 20,1 20,1 25,4 10,9 21,2

22,7 34,0 11,4 21,2 21,0 15,6 23,1

Alfred Nzo Amathole Buffalo City Cacadu Chris Hani Joe Gqabi Nelson Mandela Bay O.R.Tambo Unspecified Total

Frances Baard John Taolo Gaetsewe Namakwa Pixley ka Seme Siyanda Unspecified Total

Western Cape

Eastern Cape

Northern Cape

*Including deaths due to MDR-TB and XDR-TB.

18,2 16,2 15,3 16,0 10,0 18,4 10,1 15,7

12,5 4,3 16,8 8,1 9,3 7,6 9,6

1,9 6,8 14,3 9,5 5,6 4,6 13,1 4,2 5,1 7,7

17,6 15,8 18,2 19,4 19,0 16,9 14,7 18,1

C00-D48

A00-B99*

Cape Winelands Central Karoo City of Cape Town Eden Overberg West Coast Unspecified Total

Neoplasms

District municipality of death occurrence

Province of death

Certain infectious and parasitic diseases

2,1 1,2 0,8 3,0 3,2 0,9 2,2

1,1 1,3 1,9 2,3 1,8 3,5 2,3 1,3 0,8 1,8

0,6 3,1 0,6 1,1 1,5 1,2 0,6 0,8

D50-D89

Diseases of the blood and immune mechanism

6,8 5,1 7,4 6,1 6,7 3,3 6,3

1,8 5,9 6,3 6,5 6,4 3,9 9,2 4,0 4,2 5,7

7,7 6,3 8,4 7,4 7,6 6,4 8,1 8,0

E00-E90

Endocrine, nutritional and metabolic diseases

1,9 1,5 1,1 2,4 2,5 1,4 2,0

1,4 2,9 2,2 2,1 2,6 1,6 2,4 1,9 2,3 2,2

2,0 2,4 2,4 2,5 2,8 1,9 2,6 2,3

G00-G99

Diseases of the nervous system

8,5 12,3 13,4 11,9 13,5 10,0 11,4

5,0 14,2 10,1 11,4 11,3 7,3 9,0 6,0 12,0 9,4

9,4 11,8 7,2 9,5 9,5 9,9 7,5 8,1

J00-J99

Diseases of the respiratory system

3,5 1,5 1,4 2,4 2,3 2,4 2,4

1,1 2,1 2,5 2,5 2,3 1,7 3,0 2,4 1,5 2,3

2,2 2,0 2,2 2,8 2,2 1,9 1,7 2,3

K00-K93

Diseases of the digestive system

2,0 4,3 2,1 2,1 2,3 2,4 2,5

0,9 0,4 0,7 0,9 1,1 0,9 2,0 0,4 0,3 0,9

1,3 2,0 1,8 1,9 1,4 1,0 0,7 1,6

P00-P96

Perinatal conditions

13,0 13,4 7,7 9,7 8,4 19,0 11,1

56,1 15,4 10,7 14,0 17,3 35,5 9,3 32,8 32,8 22,3

9,6 7,2 10,2 6,2 12,5 9,3 12,3 9,7

Other

Other natural causes

9,5 8,7 13,2 13,3 11,7 23,2 11,1

10,8 11,2 12,3 12,1 10,2 8,5 9,7 11,3 13,1 10,9

11,8 14,0 14,9 9,6 12,5 12,3 25,1 13,7

V01-Y98

External causes of morbidity and mortality

100,0 100,0 100,0 100,0 100,0 100,0 100,0

100,0 100,0 100,0 100,0 100,0 100,0 100,0 100,0 100,0 100,0

100,0 100,0 100,0 100,0 100,0 100,0 100,0 100,0

Total

Mortality and causes of death in South Africa, 2014: Findings from death notification

17,5 13,6 24,7 19,8 19,2 14,2 18,2

6,1 18,8 18,6 19,1 17,7 12,4 19,9 10,3 17,1 15,6

19,7 19,2 18,8 23,5 21,0 20,5 16,7 19,6

I00-I99

Diseases of the circulatory system

Appendix O: Percentage distribution of deaths by main groups of causes of death and district municipality of death occurrence (Western Cape, Eastern Cape and Northern Cape), 2014

Statistics South Africa

115

5,4 7,2

17,8

16,4

22,2

20,0

Xhariep

Unspecified

Total

Amajuba

28,3

31,4

20,3

27,2

20,7

26,6

29,6

Uthungulu

Zululand

Unspecified

Total

Bojanala

23,1

34,7

Uthukela

Total

4,7

29,6

Umzinyathi

19,9

34,3

Umkhanyakude

15,9

5,3

23,4

UMgungundlovu

Unspecified

5,8 11,5

27,6

Ugu

Dr Kenneth Kaunda Dr Ruth Segomotsi Mompati Ngaka Modiri Molema

7,2

28,4

Sisonke

8,3

iLembe

6,7

3,6

3,9

5,3

8,1

5,8

5,6

6,2

10,1

7,2

5,0

7,8

23,5

28,9

eThekwini

6,0

5,7

5,4

Thabo Mofutsanyane

11,4

19,9

26,5

Mangaung

5,2

6,8

21,6

21,9

C00-D48

A00-B99*

Fezile Dabi

Neoplasms

Lejweleputswa

District municipality of death occurrence

*Including deaths due to MDR-TB and XDR-TB.

North West

KwaZuluNatal

Free State

Province of death

Certain infectious and parasitic diseases

2,8

0,9

3,4

3,0

2,2

3,0

1,8

0,8

2,7

2,3

1,2

1,7

1,3

1,3

1,6

2,1

2,0

2,2

1,3

3,1

2,2

2,6

3,5

2,7

3,4

2,6

D50-D89

Diseases of the blood and immune mechanism

5,9

3,8

5,9

5,9

5,2

6,7

7,5

6,4

7,0

7,2

6,7

6,3

6,2

9,5

7,8

7,0

7,7

7,7

6,7

6,9

5,2

5,1

7,7

5,8

6,9

8,3

E00-E90

Endocrine, nutritional and metabolic diseases

1,6

1,2

1,7

2,0

1,7

1,3

2,2

2,6

2,4

2,4

2,5

2,0

1,8

2,0

2,2

1,8

2,4

2,3

2,4

1,8

3,4

2,0

1,7

1,9

1,9

1,8

G00-G99

Diseases of the nervous system

10,8

10,6

12,3

10,9

8,7

11,1

8,0

9,3

7,9

6,4

9,0

10,0

5,2

6,8

9,7

8,3

7,3

7,4

13,0

11,6

11,0

11,2

10,7

8,7

14,8

13,7

J00-J99

Diseases of the respiratory system

2,4

1,3

2,0

2,1

3,3

2,5

2,7

1,9

2,7

3,1

3,3

2,3

2,2

3,2

2,2

2,3

2,6

2,8

2,8

2,9

3,4

2,3

2,9

2,7

2,9

3,4

K00-K93

Diseases of the digestive system

2,6

1,9

2,9

3,7

2,7

1,8

2,4

0,6

3,0

4,3

1,2

3,3

2,0

1,6

1,9

1,5

2,7

2,4

4,0

2,3

1,3

1,2

2,6

2,1

2,8

1,9

P00-P96

Perinatal conditions

17,3

24,7

21,4

12,2

13,8

18,2

12,7

15,4

13,3

11,5

7,3

12,0

16,0

13,4

11,1

18,9

10,1

14,7

8,4

14,2

19,6

17,5

11,4

19,7

13,7

8,9

Other

Other natural causes

8,2

14,7

6,7

6,1

8,4

9,7

10,5

16,3

9,8

11,4

8,6

9,4

10,3

10,4

11,1

9,2

9,9

10,4

14,6

9,6

12,7

14,3

8,0

9,8

9,8

9,3

V01-Y98

External causes of morbidity and mortality

100,0

100,0

100,0

100,0

100,0

100,0

100,0

100,0

100,0

100,0

100,0

100,0

100,0

100,0

100,0

100,0

100,0

100,0

100,0

100,0

100,0

100,0

100,0

100,0

100,0

100,0

Mortality and causes of death in South Africa, 2014: Findings from death notification

18,6

21,5

19,3

19,2

16,0

19,4

17,6

22,5

14,4

14,9

19,7

17,9

14,5

18,2

17,5

15,5

18,5

18,4

20,7

18,2

19,3

20,4

19,4

15,3

16,7

21,7

I00-I99

Diseases of the circulatory system

Total

P0309.3

Appendix O1: Percentage distribution of deaths by main groups of causes of death and district municipality of death occurrence (Free State, KwaZulu-Natal and North West), 2014

Statistics South Africa

116

26,2

17,3

22,8

Unspecified

Total

22,5

Mopani

Waterberg

28,3

Greater Sekhukhune

17,7

22,5

Capricorn

Vhembe

27,3

28,5

Gert Sibande

Total

32,0

Ehlanzeni

15,8

17,5

Total

Unspecified

10,5

Unspecified

21,5

15,9

West Rand

Nkangala

18,7

18,7

Ekurhuleni

Sedibeng

18,5

City of Tshwane

5,5

2,4

6,6

5,0

4,5

4,1

7,7

5,4

4,5

4,7

4,7

6,6

10,0

6,8

8,6

7,4

7,1

12,7

11,7

C00-D48

A00-B99*

16,3

Neoplasms

City of Johannesburg

District municipality of death occurrence

*Including deaths due to MDR-TB and XDR-TB.

Limpopo

Mpumalanga

Gauteng

Province of death

Certain infectious and parasitic diseases

2,1

0,8

3,1

2,6

2,5

1,7

1,5

3,2

1,3

2,6

4,5

3,0

2,2

1,1

2,6

2,4

2,7

2,0

2,0

D50-D89

Diseases of the blood and immune mechanism

7,2

5,2

7,2

7,5

7,2

6,7

7,7

6,3

6,4

6,4

6,5

6,2

5,6

2,9

6,0

5,3

5,6

7,1

4,6

E00-E90

Endocrine, nutritional and metabolic diseases

2,9

4,7

1,9

1,2

5,9

2,7

2,2

2,0

1,9

1,8

1,8

2,4

2,5

2,2

2,3

2,7

2,4

2,6

2,4

G00-G99

Diseases of the nervous system

12,2

15,3

12,5

5,9

12,3

17,6

11,9

11,1

12,2

14,9

10,5

8,4

10,4

9,0

11,2

14,5

11,3

10,2

8,6

J00-J99

Diseases of the respiratory system

2,8

2,0

2,8

2,7

2,4

3,0

3,2

2,7

2,4

2,5

2,5

3,0

2,9

2,5

2,9

3,0

2,9

3,1

2,6

K00-K93

Diseases of the digestive system

1,9

0,7

2,1

1,6

3,1

0,9

2,3

1,8

0,6

1,6

2,6

1,6

2,7

1,6

2,0

2,6

3,3

2,1

3,0

P00-P96

Perinatal conditions

19,8

24,1

9,5

38,2

20,0

9,6

16,7

12,7

18,5

12,6

13,0

11,9

17,9

21,9

18,5

10,8

20,2

11,3

22,7

Other

Other natural causes

8,3

11,1

9,6

8,3

7,0

7,7

8,4

10,6

15,4

11,9

10,5

9,2

10,8

25,9

12,0

11,3

10,3

8,9

10,8

V01-Y98

External causes of morbidity and mortality

100,0

100,0

100,0

100,0

100,0

100,0

100,0

100,0

100,0

100,0

100,0

100,0

100,0

100,0

100,0

100,0

100,0

100,0

100,0

Mortality and causes of death in South Africa, 2014: Findings from death notification

14,6

16,4

18,5

9,3

12,6

17,6

16,0

16,8

20,9

19,5

15,1

15,5

17,6

15,6

18,1

21,3

15,5

21,4

15,1

I00-I99

Diseases of the circulatory system

Total

P0309.3

Appendix O2: Percentage distribution of deaths by main groups of causes of death and district municipality of death occurrence (Gauteng, Mpumalanga and Limpopo), 2014

Statistics South Africa

117

310

Cerebrovascular diseases (I60-I69)

Chronic lower respiratory diseases (J40-J47)

Ischaemic heart diseases (I20-I25)

Malignant neoplasms of respiratory and intrathoracic organs (C30-C39)

Malignant neoplasms of digestive organs (C15-C26)

Hypertensive diseases (I10-I15)

Other forms of heart disease (I30-I52)

4

5

6

7

8

9

10

412

747

No

238 206 196

Diabetes mellitus (E10-E14)

Chronic lower respiratory diseases (J40-J47)

Human immunodeficiency virus [HIV] disease (B20-B24)

Malignant neoplasms of digestive organs (C15-C26)

Malignant neoplasms of respiratory and intrathoracic organs (C30-C39)

Other forms of heart disease (I30-I52)

Hypertensive diseases (I10-I15)

4

5

6

7

8

9

10

466

*Excluding cases with unspecified district municipality.

100,0

9,6

36,5

3,6

4,0

4,2

4,9

5,2

5,2

6,1

6,6

6,8

7,2

%

100,0

11,8

33,8

2,7

3,2

4,3

4,9

5,7

6,3

6,4

6,5

6,8

7,6

%

10

9

8

7

5

5

4

3

2

1

10

7

7

7

6

5

3

3

2

1

20

Overberg

99

All causes

Non-natural causes

Other natural causes

Influenza and pneumonia (J09-J18)

Other forms of heart disease (I30-I52)

100,0

12,5

37,3

2,7

2,9

4,0

5,0

5,3

5,3

5,5

6,1

6,2

7,1

%

100,0

14,0

32,4

2,8

4,1

4,1

4,1

4,2

4,5

4,9

4,9

8,6

11,3

% 1

10

9

8

7

6

5

4

3

2

1

10

9

8

7

6

5

4

3

2

West Coast

All causes

Non-natural causes

Other natural causes

Other forms of heart disease (I30-I52)

Malignant neoplasms of digestive organs (C15-C26)

Malignant neoplasms of respiratory and intrathoracic organs (C30-C39)

Hypertensive diseases (I10-I15)

Human immunodeficiency virus [HIV] disease (B20-B24)

Diabetes mellitus (E10-E14)

Ischaemic heart diseases (I20-I25)

Cerebrovascular diseases (I60-I69)

Chronic lower respiratory diseases (J40-J47)

Tuberculosis (A15-A19)**

All causes

Non-natural causes

Other natural causes

Other forms of heart disease (I30-I52)

Chronic lower respiratory diseases (J40-J47)

Hypertensive diseases (I10-I15)

Malignant neoplasms of respiratory and intrathoracic organs (C30-C39)

Malignant neoplasms of digestive organs (C15-C26)

Tuberculosis (A15-A19)**

Ischaemic heart diseases (I20-I25)

Cerebrovascular diseases (I60-I69)

Human immunodeficiency virus [HIV] disease (B20-B24)

Diabetes mellitus (E10-E14)

City of Cape Town

2 575

316

868

77

108

117

126

136

140

145

146

179

217

No

27 127

4 031

10 056

822

1 009

1 038

1 148

1 218

1 304

1 418

1 475

1 644

1 964

No.

P0309.3

Mortality and causes of death in South Africa, 2014: Findings from death notification

1 877

235

700

50

55

76

94

Hypertensive diseases (I10-I15)

99

Malignant neoplasms of digestive organs (C15-C26)

99

104

115

116

134

No

709

Malignant neoplasms of respiratory and intrathoracic organs (C30-C39)

Tuberculosis (A15-A19)**

Cerebrovascular diseases (I60-I69)

Diabetes mellitus (E10-E14)

Chronic lower respiratory diseases (J40-J47)

Ischaemic heart diseases (I20-I25)

All causes

Non-natural causes

230

Certain disorders involving the immune mechanism (D80D89) Other natural causes

29

29

29

30

32

35

35

61

80

No.

Cerebrovascular diseases (I60-I69)

Other forms of heart disease (I30-I52)

Malignant neoplasms of respiratory and intrathoracic organs (C30-C39)

Malignant neoplasms of digestive organs (C15-C26)

Ischaemic heart diseases (I20-I25)

Hypertensive diseases (I10-I15)

Diabetes mellitus (E10-E14)

Chronic lower respiratory diseases (J40-J47)

Tuberculosis (A15-A19)**

Central Karoo

**Including deaths due to MDR-TB and XDR-TB.

4 854

Non-natural causes

All causes

1 772

Other natural causes

177

251

254

298

319

329

Ischaemic heart diseases (I20-I25)

Tuberculosis (A15-A19)**

3

348

2

Cerebrovascular diseases (I60-I69)

1

6 333

Non-natural causes

All causes

2 138

170

204

274

400

405

Other natural causes

Eden

359

Diabetes mellitus (E10-E14)

3

432

482

Human immunodeficiency virus [HIV] disease (B20-B24)

Tuberculosis (A15-A19)**

2

No.

1

Cape Winelands

Appendix P: The ten leading underlying natural causes of death by district municipality of death occurrence, Western Cape, 2014*

Statistics South Africa

100,0

12,3

33,7

3,0

4,2

4,5

4,9

5,3

5,4

5,6

5,7

7,0

8,4

%

100,0

14,9

37,1

3,0

3,7

3,8

4,2

4,5

4,8

5,2

5,4

6,1

7,2

%

118

Diabetes mellitus (E10-E14)

Chronic lower respiratory diseases (J40-J47)

Other acute lower respiratory infections (J20-J22)

8

9

10

44

54

61

94

Ischaemic heart diseases (I20-I25)

Malignant neoplasms of respiratory and intrathoracic organs (C30-C39)

9

10

83

105

147

*Excluding cases with unspecified district municipality.

All causes

%

100,0

12,1

38,9

2,3

3,0

4,1

4,2

5,1

5,2

5,2

5,2

5,4

9,3

%

100,0

10,8

66,8

0,9

1,1

1,2

1,9

2,1

2,3

2,3

2,5

2,7

5,4

10

9

8

7

6

5

4

3

2

1

10

9

8

7

6

5

4

3

2

1

Amathole

Chris Hani

All causes

Non-natural causes

Other natural causes

Intestinal infectious diseases (A00-A09)

Other viral diseases (B25-B34)

Hypertensive diseases (I10-I15)

Influenza and pneumonia (J09-J18)

Diabetes mellitus (E10-E14)

Chronic lower respiratory diseases (J40-J47)

Human immunodeficiency virus [HIV] disease (B20-B24)

Other forms of heart disease (I30-I52)

Cerebrovascular diseases (I60-I69)

Tuberculosis (A15-A19)**

All causes

Non-natural causes

Other natural causes

Malignant neoplasms of digestive organs (C15-C26)

Other viral diseases (B25-B34)

Human immunodeficiency virus [HIV] disease (B20-B24)

Influenza and pneumonia (J09-J18)

Hypertensive diseases (I10-I15)

Diabetes mellitus (E10-E14)

Other forms of heart disease (I30-I52)

Cerebrovascular diseases (I60-I69)

Chronic lower respiratory diseases (J40-J47)

Tuberculosis (A15-A19)**

**Including deaths due to MDR-TB and XDR-TB.

3 559

430

Other forms of heart disease (I30-I52)

8

149

1 385

Influenza and pneumonia (J09-J18)

7

183

Non-natural causes

Diabetes mellitus (E10-E14)

6

184

185

186

192

330

No.

4 931

Other natural causes

Chronic lower respiratory diseases (J40-J47)

Human immunodeficiency virus [HIV] disease (B20-B24)

Cerebrovascular diseases (I60-I69)

3

5

Hypertensive diseases (I10-I15)

2

4

Tuberculosis (A15-A19)**

Cacadu

1

All causes

533

Influenza and pneumonia (J09-J18)

7

106

Non-natural causes

Cerebrovascular diseases (I60-I69)

6

111

113

122

135

3 293

Other forms of heart disease (I30-I52)

5

No. 265

Other natural causes

Other viral diseases (B25-B34)

Human immunodeficiency virus [HIV] disease (B20-B24)

4

Intestinal infectious diseases (A00-A09)

2

3

Tuberculosis (A15-A19)**

1

Alfred Nzo

%

100,0

10,2

38,4

3,3

3,5

4,0

4,3

4,7

4,8

5,7

5,7

5,8

9,5

%

100,0

11,2

37,9

2,9

2,9

3,8

3,9

4,6

4,8

5,7

6,2

6,3

9,8

10

9

8

7

6

5

4

3

2

1

10

9

8

7

6

5

4

3

2

1

Buffalo City Metro

Joe Gqabi

No.

All causes

Non-natural causes

Other natural causes

Other viral diseases (B25-B34)

Intestinal infectious diseases (A00-A09)

Hypertensive diseases (I10-I15)

Diabetes mellitus (E10-E14)

Influenza and pneumonia (J09-J18)

4 260

363

2 262

89

95

104

115

125

150 141

Human immunodeficiency virus [HIV] disease (B20-B24)

160

173

483

No.

8 638

1 061

3 397

226

228

302

367

405

447

451

479

497

778

Certain disorders involving the immune mechanism (D80D89)

Other forms of heart disease (I30-I52)

Cerebrovascular diseases (I60-I69)

Tuberculosis (A15-A19)**

All causes

Non-natural causes

Other natural causes

Ischaemic heart diseases (I20-I25)

Influenza and pneumonia (J09-J18)

Hypertensive diseases (I10-I15)

Chronic lower respiratory diseases (J40-J47)

Malignant neoplasms of digestive organs (C15-C26)

Diabetes mellitus (E10-E14)

Other forms of heart disease (I30-I52)

Cerebrovascular diseases (I60-I69)

Human immunodeficiency virus [HIV] disease (B20-B24)

Tuberculosis (A15-A19)**

P0309.3

Mortality and causes of death in South Africa, 2014: Findings from death notification

8 733

891

3 356

291

309

352

377

413

416

498

500

503

827

No.

11 125

1 249

4 211

318

327

418

433

514

532

636

690

706

1 091

No.

Appendix P1: The ten leading underlying natural causes of death by district municipality of death occurrence, Eastern Cape, 2014*

Statistics South Africa

%

100,0

8,5

53,1

2,1

2,2

2,4

2,7

2,9

3,3

3,5

3,8

4,1

11,3

%

100,0

12,3

39,3

2,6

2,6

3,5

4,2

4,7

5,2

5,2

5,5

5,8

9,0

119

Other forms of heart disease (I30-I52)

7

986

*Excluding cases with unspecified district municipality.

100,0

9,7

38,4

2,7

3,1

3,2

4,0

4,5

5,6

5,8

7,6

7,7

7,7

%

10

9

8

7

6

5

4

3

2

1

All causes

Non-natural causes

Other natural causes

Hypertensive diseases (I10-I15)

Chronic lower respiratory diseases (J40-J47)

Influenza and pneumonia (J09-J18)

Other viral diseases (B25-B34)

Diabetes mellitus (E10-E14)

Intestinal infectious diseases (A00-A09)

Cerebrovascular diseases (I60-I69)

Other forms of heart disease (I30-I52)

Human immunodeficiency virus [HIV] disease (B20-B24)

Tuberculosis (A15-A19)**

O. R. Tambo

**Including deaths due to MDR-TB and XDR-TB.

10 157

Non-natural causes

All causes

3 899

276

316

326

407

454

567

594

769

780

783

No.

Other natural causes

Influenza and pneumonia (J09-J18)

Chronic lower respiratory diseases (J40-J47)

6

10

Cerebrovascular diseases (I60-I69)

5

Ischaemic heart diseases (I20-I25)

Hypertensive diseases (I10-I15)

4

Malignant neoplasms of digestive organs (C15-C26)

Tuberculosis (A15-A19)**

3

9

Human immunodeficiency virus [HIV] disease (B20-B24)

2

8

Diabetes mellitus (E10-E14)

1

Nelson Mandela Bay Metro

100,0

11,3

48,4

1,6

1,8

2,4

2,8

2,8

2,9

3,8

3,9

8,5

9,9

%

P0309.3

Mortality and causes of death in South Africa, 2014: Findings from death notification

13 998

1 579

6 771

219

245

338

394

395

399

531

550

1 187

1 390

No.

Appendix P1: The ten leading underlying natural causes of death by district municipality of death occurrence, Eastern Cape, 2014* (concluded)

Statistics South Africa

120

Diabetes mellitus (E10-E14)

Influenza and pneumonia (J09-J18)

Malignant neoplasms of digestive organs (C15-C26)

Other forms of heart disease (I30-I52)

Other viral diseases (B25-B34)

Chronic lower respiratory diseases (J40-J47)

5

6

7

8

9

10

126

127

128

134

135

190

204

Hypertensive diseases (I10-I15)

7

403

*Excluding cases with unspecified district municipality.

3 041

Non-natural causes

All causes

1 139

75

102

107

116

129

133

155

192

208

282

No.

4 136

Other natural causes

Certain disorders involving the immune mechanism (D80D89)

Other forms of heart disease (I30-I52)

6

10

Influenza and pneumonia (J09-J18)

5

Ischaemic heart diseases (I20-I25)

Chronic lower respiratory diseases (J40-J47)

4

Diabetes mellitus (E10-E14)

Cerebrovascular diseases (I60-I69)

3

9

Human immunodeficiency virus [HIV] disease (B20-B24)

2

8

Tuberculosis (A15-A19)**

Pixley ka Seme

1

All causes

394

Hypertensive diseases (I10-I15)

4

246

Non-natural causes

Cerebrovascular diseases (I60-I69)

3

280

1 811

Tuberculosis (A15-A19)**

2

361

No.

Other natural causes

Human immunodeficiency virus [HIV] disease (B20-B24)

1

Frances Baard

10

9

8

7

6

5

4

3

2

1

10

9

8

7

6

5

4

3

2

1

Siyanda

All causes

Non-natural causes

Other natural causes

Other viral diseases (B25-B34)

Other forms of heart disease (I30-I52)

Ischaemic heart diseases (I20-I25)

Diabetes mellitus (E10-E14)

Human immunodeficiency virus [HIV] disease (B20-B24)

Influenza and pneumonia (J09-J18)

Cerebrovascular diseases (I60-I69)

Hypertensive diseases (I10-I15)

Chronic lower respiratory diseases (J40-J47)

Tuberculosis (A15-A19)**

All causes

Non-natural causes

Other natural causes

Other acute lower respiratory infections (J20-J22)

Other forms of heart disease (I30-I52)

Cerebrovascular diseases (I60-I69)

Diabetes mellitus (E10-E14)

Other viral diseases (B25-B34)

Tuberculosis (A15-A19)**

Hypertensive diseases (I10-I15)

Intestinal infectious diseases (A00-A09)

Influenza and pneumonia (J09-J18)

Human immunodeficiency virus [HIV] disease (B20-B24)

John Taolo Gaetsewe

**Including deaths due to MDR-TB and XDR-TB.

100,0

13,3

37,5

2,5

3,4

3,5

3,8

4,2

4,4

5,1

6,3

6,8

9,3

%

100,0

9,5

43,8

3,0

3,1

3,1

3,2

3,3

4,6

4,9

5,9

6,8

8,7

%

100,0

11,7

40,5

2,8

3,4

4,1

4,1

4,4

4,6

5,0

5,1

5,7

8,8

%

100,0

8,7

33,9

2,1

2,4

3,2

3,4

3,8

5,7

5,8

6,2

7,4

17,5

%

10

9

8

7

6

5

4

3

1

1

All causes

Non-natural causes

1 153

152

376

23

Malignant neoplasms of ill-defined, secondary and unspecified sites (C76-C80) Other natural causes

29

41

Malignant neoplasms of respiratory and intrathoracic organs (C30-C39) Other forms of heart disease (I30-I52)

47

52

70

71

76

108

108

No.

Malignant neoplasms of digestive organs (C15-C26)

Cerebrovascular diseases (I60-I69)

Hypertensive diseases (I10-I15)

Tuberculosis (A15-A19)**

Diabetes mellitus (E10-E14)

Chronic lower respiratory diseases (J40-J47)

Ischaemic heart diseases (I20-I25)

Namakwa

P0309.3

13,2

32,6

2,0

2,5

3,6

4,1

4,5

6,1

6,2

6,6

9,4

9,4

%

100,0

Mortality and causes of death in South Africa, 2014: Findings from death notification

2 862

334

1 158

79

96

117

118

127

133

142

145

162

251

No.

2 653

230

899

56

64

84

90

101

151

153

164

197

464

No.

Appendix P2: The ten leading underlying natural causes of death by district municipality of death occurrence, Northern Cape, 2014*

Statistics South Africa

121

Hypertensive diseases (I10-I15)

Diabetes mellitus (E10-E14)

Other viral diseases (B25-B34)

Intestinal infectious diseases (A00-A09)

Ischaemic heart diseases (I20-I25)

Chronic lower respiratory diseases (J40-J47)

5

6

7

8

9

10

135

139

195

227

302

303

320

403

248

Cerebrovascular diseases (I60-I69)

Diabetes mellitus (E10-E14)

Intestinal infectious diseases (A00-A09)

Hypertensive diseases (I10-I15)

Human immunodeficiency virus [HIV] disease (B20-B24)

Certain disorders involving the immune mechanism (D80D89)

5

6

7

8

9

10

*Excluding cases with unspecified district municipality.

8 954

720

Non-natural causes

All causes

3 339

Other natural causes

433

436

476

482

525

528

Influenza and pneumonia (J09-J18)

Other viral diseases (B25-B34)

4

528

836

No.

5 385

3

Other forms of heart disease (I30-I52)

2

Thabo Mofutsanyane

Tuberculosis (A15-A19)**

1

All causes

500

Cerebrovascular diseases (I60-I69)

4

336

Non-natural causes

Other forms of heart disease (I30-I52)

3

398

1 982

Influenza and pneumonia (J09-J18)

2

548

No.

Other natural causes

Tuberculosis (A15-A19)**

1

Fezile Dabi

10

9

8

7

6

5

4

3

2

1

10

9

8

7

6

5

4

3

2

1

Xhariep

All causes

Non-natural causes

Other natural causes

Diabetes mellitus (E10-E14)

Human immunodeficiency virus [HIV] disease (B20-B24)

Chronic lower respiratory diseases (J40-J47)

Intestinal infectious diseases (A00-A09)

Ischaemic heart diseases (I20-I25)

Hypertensive diseases (I10-I15)

Other forms of heart disease (I30-I52)

Cerebrovascular diseases (I60-I69)

Influenza and pneumonia (J09-J18)

Tuberculosis (A15-A19)**

All causes

Non-natural causes

100,0

14,3

38,9

3,1

3,3

3,4

3,8

3,9

4,2

5,1

6,1

6,4

7,6

%

100,0

9,8

39,8

2,6

2,7

3,2

3,8

4,4

4,7

4,8

5,0

9,0

10,3

%

10

9

8

7

6

5

4

3

2

1

All causes

Non-natural causes

Other natural causes

Ischaemic heart diseases (I20-I25)

Chronic lower respiratory diseases (J40-J47)

Malignant neoplasms of digestive organs (C15-C26)

Other forms of heart disease (I30-I52)

Hypertensive diseases (I10-I15)

Diabetes mellitus (E10-E14)

Influenza and pneumonia (J09-J18)

Cerebrovascular diseases (I60-I69)

Human immunodeficiency virus [HIV] disease (B20-B24)

Tuberculosis (A15-A19)**

Mangaung Metro

8 879

874

4 430

190

195

251

285

294

335

415

469

569

572

No.

P0309.3

Mortality and causes of death in South Africa, 2014: Findings from death notification

2 051

294

797

63

67

69

78

80

86

104

125

132

156

No.

7 241

709

2 883

187

Certain disorders involving the immune mechanism (D80D89) Other natural causes

197

232

272

318

337

345

364

649

748

No.

Chronic lower respiratory diseases (J40-J47)

Human immunodeficiency virus [HIV] disease (B20-B24)

Hypertensive diseases (I10-I15)

Diabetes mellitus (E10-E14)

Cerebrovascular diseases (I60-I69)

Intestinal infectious diseases (A00-A09)

Other forms of heart disease (I30-I52)

Tuberculosis (A15-A19)**

Influenza and pneumonia (J09-J18)

Lejweleputswa

**Including deaths due to MDR-TB and XDR-TB.

100,0

8,0

37,3

2,8

4,5

4,8

4,9

5,3

5,4

5,9

5,9

5,9

9,3

%

100,0

9,3

36,8

2,5

2,6

3,6

4,2

5,6

5,6

5,9

6,2

7,4

10,2

%

Appendix P3: The ten leading underlying natural causes of death by district municipality of death occurrence, Free State, 2014*

Statistics South Africa

100,0

9,8

49,9

2,1

2,2

2,8

3,2

3,3

3,8

4,7

5,3

6,4

6,4

%

122

Human immunodeficiency virus [HIV] disease (B20-B24)

Other viral diseases (B25-B34)

9

10

72

76

89

Hypertensive diseases (I10-I15)

Other viral diseases (B25-B34)

Chronic lower respiratory diseases (J40-J47)

7

8

9

10

99

121

166

174

184

*Excluding cases with unspecified district municipality.

All causes

4 349

398

Intestinal infectious diseases (A00-A09)

6

185

Non-natural causes

Other forms of heart disease (I30-I52)

5

263

265

1 618

Influenza and pneumonia (J09-J18)

4

316

560

No.

2 827

Other natural causes

Cerebrovascular diseases (I60-I69)

Diabetes mellitus (E10-E14)

3

Human immunodeficiency virus [HIV] disease (B20-B24)

2

Sisonke

Tuberculosis (A15-A19)**

1

All causes

413

Other acute lower respiratory infections (J20-J22)

8

113

Non-natural causes

Intestinal infectious diseases (A00-A09)

7

144

972

Hypertensive diseases (I10-I15)

6

151

174

180

190

253

No.

Other natural causes

Influenza and pneumonia (J09-J18)

Diabetes mellitus (E10-E14)

5

3

4

Cerebrovascular diseases (I60-I69)

Other forms of heart disease (I30-I52)

2

Tuberculosis (A15-A19)**

1

Amajuba

10

9

8

7

6

5

4

3

2

1

10

9

8

7

6

5

4

3

2

1

Ugu

All causes

Non-natural causes

Other natural causes

Intestinal infectious diseases (A00-A09)

Chronic lower respiratory diseases (J40-J47)

Other forms of heart disease (I30-I52)

Hypertensive diseases (I10-I15)

Other viral diseases (B25-B34)

Influenza and pneumonia (J09-J18)

Human immunodeficiency virus [HIV] disease (B20-B24)

Diabetes mellitus (E10-E14)

Cerebrovascular diseases (I60-I69)

Tuberculosis (A15-A19)**

All causes

Non-natural causes

Other natural causes

Renal failure (N17-N19)

Hypertensive diseases (I10-I15)

Ischaemic heart diseases (I20-I25)

Influenza and pneumonia (J09-J18)

Other viral diseases (B25-B34)

Human immunodeficiency virus [HIV] disease (B20-B24)

Cerebrovascular diseases (I60-I69)

Other forms of heart disease (I30-I52)

Diabetes mellitus (E10-E14)

Tuberculosis (A15-A19)**

eThekwini Metro

**Including deaths due to MDR-TB and XDR-TB.

100,0

9,2

37,2

2,3

2,8

3,8

4,0

4,2

4,3

6,0

6,1

7,3

12,9

%

100,0

14,6

34,4

2,5

2,7

3,1

4,0

5,1

5,3

6,2

6,4

6,7

8,9

%

100,0

11,1

34,3

2,8

3,1

3,7

3,7

4,1

4,8

5,9

6,8

7,1

12,6

%

100,0

10,4

41,8

2,2

2,5

3,1

3,2

3,3

4,8

5,6

6,2

6,4

10,5

%

10

9

8

7

6

5

4

3

2

1

10

9

8

7

6

5

4

3

2

1

uMgungundlovu

779

All causes

Non-natural causes

Other natural causes

Malignant neoplasms of digestive organs (C15-C26)

Influenza and pneumonia (J09-J18)

Ischaemic heart diseases (I20-I25)

Intestinal infectious diseases (A00-A09)

Other forms of heart disease (I30-I52)

Hypertensive diseases (I10-I15)

10 784

1 118

4 284

296

311

316

344

351

542

649

Human immunodeficiency virus [HIV] disease (B20B24) Cerebrovascular diseases (I60-I69)

869

925

No.

4 366

431

1 591

120

130

Diabetes mellitus (E10-E14)

Tuberculosis (A15-A19)**

All causes

Non-natural causes

Other natural causes

Influenza and pneumonia (J09-J18)

Hypertensive diseases (I10-I15)

132

158

Ischaemic heart diseases (I20-I25)

164

Human immunodeficiency virus [HIV] disease (B20B24)

202

212

278

350

598

No.

Other forms of heart disease (I30-I52)

Intestinal infectious diseases (A00-A09)

Other viral diseases (B25-B34)

Diabetes mellitus (E10-E14)

Cerebrovascular diseases (I60-I69)

Tuberculosis (A15-A19)**

iLembe

%

100,0

10,4

39,7

2,7

2,9

2,9

3,2

3,3

5,0

6,0

7,2

8,1

8,6

%

100,0

9,9

36,4

2,7

3,0

3,0

3,6

3,8

4,6

4,9

6,4

8,0

13,7

P0309.3

Mortality and causes of death in South Africa, 2014: Findings from death notification

7 782

864

2 671

220

241

286

287

321

370

461

528

555

978

No.

16 604

1 726

6 945

370

421

509

536

541

800

926

1 029

1 057

1 744

No.

Appendix P4: The ten leading underlying natural causes of death by district municipality of death occurrence, KwaZulu-Natal, 2014*

Statistics South Africa

123

Diabetes mellitus (E10-E14)

Other forms of heart disease (I30-I52)

Intestinal infectious diseases (A00-A09)

Hypertensive diseases (I10-I15)

Influenza and pneumonia (J09-J18)

Other bacterial diseases (A30-A49)

4

6

7

8

9

10

196

47

89

107

130

155

159

159

*Excluding cases with unspecified district municipality.

7 771

888

All causes

3 135

142

219

228

275

293

342

431

449

553

816

Non-natural causes

Malignant neoplasms of digestive organs (C15-C26)

10

3 471

No.

Other natural causes

Influenza and pneumonia (J09-J18)

Other forms of heart disease (I30-I52)

6

9

Other viral diseases (B25-B34)

5

Hypertensive diseases (I10-I15)

Cerebrovascular diseases (I60-I69)

4

Intestinal infectious diseases (A00-A09)

Diabetes mellitus (E10-E14)

3

8

Human immunodeficiency virus [HIV] disease (B20-B24)

2

7

Tuberculosis (A15-A19)**

uThungulu

1

All causes

357

Other viral diseases (B25-B34)

4

1 261

Cerebrovascular diseases (I60-I69)

3

373

Non-natural causes

Human immunodeficiency virus [HIV] disease (B20-B24)

2

438

No.

Other natural causes

Tuberculosis (A15-A19)**

1

uMkhanyakude

10

9

8

7

6

5

4

3

2

1

10

9

8

7

6

5

4

3

2

1

Zululand

All causes

Non-natural causes

Other natural causes

Other acute lower respiratory infections (J20-J22)

Hypertensive diseases (I10-I15)

Influenza and pneumonia (J09-J18)

Other forms of heart disease (I30-I52)

Other viral diseases (B25-B34)

Intestinal infectious diseases (A00-A09)

Human immunodeficiency virus [HIV] disease (B20-B24)

Diabetes mellitus (E10-E14)

Cerebrovascular diseases (I60-I69)

Tuberculosis (A15-A19)**

All causes

Non-natural causes

Other natural causes

Hypertensive diseases (I10-I15)

Other acute lower respiratory infections (J20-J22)

Influenza and pneumonia (J09-J18)

Intestinal infectious diseases (A00-A09)

Diabetes mellitus (E10-E14)

Other forms of heart disease (I30-I52)

Other viral diseases (B25-B34)

Human immunodeficiency virus [HIV] disease (B20-B24)

Cerebrovascular diseases (I60-I69)

Tuberculosis (A15-A19)**

uMzinyathi

**Including deaths due to MDR-TB and XDR-TB.

100,0

11,4

40,3

1,8

2,8

2,9

3,5

3,8

4,4

5,5

5,8

7,1

10,5

%

100,0

10,3

36,3

1,4

2,6

3,1

3,7

4,5

4,6

4,6

5,6

10,7

12,6

%

100,0

9,8

36,3

2,3

2,7

3,8

4,6

4,7

4,9

5,1

5,3

5,5

15,0

%

100,0

9,4

35,8

2,8

3,3

3,9

4,4

4,4

6,1

6,6

6,7

6,8

9,9

%

10

9

8

7

6

5

4

3

2

1

All causes

Non-natural causes

Other natural causes

Ischaemic heart diseases (I20-I25)

Hypertensive diseases (I10-I15)

Influenza and pneumonia (J09-J18)

Other forms of heart disease (I30-I52)

Intestinal infectious diseases (A00-A09)

Diabetes mellitus (E10-E14)

Other viral diseases (B25-B34)

7 904

679

2 409

215

319

360

389

435

438

451

548

703

Human immunodeficiency virus [HIV] disease (B20B24) Cerebrovascular diseases (I60-I69)

958

No.

Tuberculosis (A15-A19)**

uThukela

100,0

8,6

30,5

2,7

4,0

4,6

4,9

5,5

5,5

5,7

6,9

8,9

12,1

%

P0309.3

Mortality and causes of death in South Africa, 2014: Findings from death notification

5 881

577

2 136

134

161

224

272

276

287

299

310

325

880

No.

4 515

425

1 617

126

148

177

198

199

274

300

301

305

445

No.

Appendix P4: The ten leading underlying natural causes of death by district municipality of death occurrence, KwaZulu-Natal, 2014* (concluded)

Statistics South Africa

124

Human immunodeficiency virus [HIV] disease (B20-B24)

Chronic lower respiratory diseases (J40-J47)

9

10

270

321

391

216

214

Human immunodeficiency virus [HIV] disease (B20-B24)

Other viral diseases (B25-B34)

Certain disorders involving the immune mechanism (D80D89)

8

9

10

*Excluding cases with unspecified district municipality.

9 053

609

Non-natural causes

All causes

4 045

Other natural causes

306

326

400

Intestinal infectious diseases (A00-A09)

405

Diabetes mellitus (E10-E14)

5

435

590

7

Cerebrovascular diseases (I60-I69)

4

750

757

No.

11 280

6

Influenza and pneumonia (J09-J18)

Hypertensive diseases (I10-I15)

3

Other forms of heart disease (I30-I52)

Tuberculosis (A15-A19)**

2

Ngaka Modiri Molema

1

All causes

4 599

Other viral diseases (B25-B34)

8

444

1 093

Intestinal infectious diseases (A00-A09)

7

565

Non-natural causes

Cerebrovascular diseases (I60-I69)

6

591

673

679

739

915

No.

Other natural causes

Influenza and pneumonia (J09-J18)

Diabetes mellitus (E10-E14)

Other forms of heart disease (I30-I52)

3

5

Hypertensive diseases (I10-I15)

2

4

Tuberculosis (A15-A19)**

1

Bojanala Platinum 1

10

9

8

7

6

5

4

3

2

All causes

Non-natural causes

Other natural causes

Malignant neoplasms of digestive organs (C15-C26)

Intestinal infectious diseases (A00-A09)

Diabetes mellitus (E10-E14)

Other viral diseases (B25-B34)

Other forms of heart disease (I30-I52)

Hypertensive diseases (I10-I15)

Influenza and pneumonia (J09-J18)

Cerebrovascular diseases (I60-I69)

Human immunodeficiency virus [HIV] disease (B20-B24)

Tuberculosis (A15-A19)**

Dr Kenneth Kaunda

**Including deaths due to MDR-TB and XDR-TB.

100,0

6,7

44,7

2,4

2,4

3,4

3,6

4,4

4,5

4,8

6,5

8,3

8,4

%

100,0

9,7

40,8

2,4

2,8

3,5

3,9

5,0

5,2

6,0

6,0

6,6

8,1

%

100,0

8,4

46,0

2,7

3,0

3,2

3,4

3,6

3,6

4,2

4,7

6,5

10,7

% 1

10

9

8

7

6

5

4

3

2

335

All causes

Non-natural causes

5 483

337

2 127

129

Certain disorders involving the immune mechanism (D80-D89) Other natural causes

157

263

286

297

325

Diabetes mellitus (E10-E14)

Cerebrovascular diseases (I60-I69)

Influenza and pneumonia (J09-J18)

Other forms of heart disease (I30-I52)

Intestinal infectious diseases (A00-A09)

Other viral diseases (B25-B34)

348

362

Hypertensive diseases (I10-I15)

517

Human immunodeficiency virus [HIV] disease (B20B24)

No.

Tuberculosis (A15-A19)**

Dr Ruth Segomotsi Mompati

100,0

6,1

38,8

2,4

2,9

4,8

5,2

5,4

5,9

6,1

6,3

6,6

9,4

%

P0309.3

Mortality and causes of death in South Africa, 2014: Findings from death notification

8 003

669

3 678

219

241

260

269

287

292

335

377

522

854

No.

Appendix P5: The ten leading underlying natural causes of death by district municipality of death occurrence, North West, 2014*

Statistics South Africa

125

Other bacterial diseases (A30-A49)

10

628

681

9 137

All causes

*Excluding cases with unspecified district municipality.

1 037

Non-natural causes

174

3 337

Malignant neoplasms of digestive organs (C15-C26)

10

219

255

336

397

442

444

652

889

955

No.

29 645

Other natural causes

Ischaemic heart diseases (I20-I25)

Chronic lower respiratory diseases (J40-J47)

7

9

Intestinal infectious diseases (A00-A09)

6

8

Cerebrovascular diseases (I60-I69)

Diabetes mellitus (E10-E14)

5

Other forms of heart disease (I30-I52)

Hypertensive diseases (I10-I15)

4

Influenza and pneumonia (J09-J18)

3

Tuberculosis (A15-A19)**

2

Sedibeng

1

All causes

3 199

Chronic lower respiratory diseases (J40-J47)

9

776

15 967

Malignant neoplasms of digestive organs (C15-C26)

8

839

Non-natural causes

Ischaemic heart diseases (I20-I25)

7

1 004

1 054

1 174

1 298

1 385

1 640

No.

Other natural causes

Cerebrovascular diseases (I60-I69)

Human immunodeficiency virus [HIV] disease (B20-B24)

4

Diabetes mellitus (E10-E14)

Influenza and pneumonia (J09-J18)

3

6

Other forms of heart disease (I30-I52)

2

5

Tuberculosis (A15-A19)**

1

City of Johannesburg Metro

10

9

8

7

6

5

4

3

2

1

10

9

8

7

6

5

4

3

2

1

West Rand

All causes

Non-natural causes

Other natural causes

Intestinal infectious diseases (A00-A09)

Chronic lower respiratory diseases (J40-J47)

Other viral diseases (B25-B34)

Hypertensive diseases (I10-I15)

Ischaemic heart diseases (I20-I25)

Cerebrovascular diseases (I60-I69)

Diabetes mellitus (E10-E14)

Tuberculosis (A15-A19)**

Other forms of heart disease (I30-I52)

Influenza and pneumonia (J09-J18)

All causes

Non-natural causes

Other natural causes

Other viral diseases (B25-B34)

Malignant neoplasms of digestive organs (C15-C26)

Ischaemic heart diseases (I20-I25)

Human immunodeficiency virus [HIV] disease (B20-B24)

Hypertensive diseases (I10-I15)

Influenza and pneumonia (J09-J18)

Cerebrovascular diseases (I60-I69)

Diabetes mellitus (E10-E14)

Other forms of heart disease (I30-I52)

Tuberculosis (A15-A19)**

City of Tshwane Metro

**Including deaths due to MDR-TB and XDR-TB.

100,0

11,3

36,5

1,9

2,4

2,8

3,7

4,3

4,8

4,9

7,1

9,7

10,5

%

100,0

10,8

53,9

2,1

2,3

2,6

2,8

3,4

3,6

4,0

4,4

4,7

5,5

%

100,0

12,0

47,0

2,4

2,5

2,7

3,0

3,2

4,2

4,5

5,7

6,1

6,7

%

100,0

8,9

44,8

2,6

2,9

3,2

4,0

4,8

4,8

5,0

5,3

6,7

6,9

%

10

9

8

7

6

5

4

3

2

1

All causes

Non-natural causes

23 558

2 428

11 668

524

Other natural causes

570

Human immunodeficiency virus [HIV] disease (B20-B24)

584

754

950

954

960

1 064

1 353

1 749

No.

Ischaemic heart diseases (I20-I25)

Intestinal infectious diseases (A00-A09)

Hypertensive diseases (I10-I15)

Diabetes mellitus (E10-E14)

Other viral diseases (B25-B34)

Cerebrovascular diseases (I60-I69)

Other forms of heart disease (I30-I52)

Influenza and pneumonia (J09-J18)

Tuberculosis (A15-A19)**

Ekurhuleni Metro

100,0

10,3

49,5

2,2

2,4

2,5

3,2

4,0

4,0

4,1

4,5

5,7

7,4

%

P0309.3

Mortality and causes of death in South Africa, 2014: Findings from death notification

8 576

1 028

4 035

208

215

229

256

275

362

387

486

524

571

No.

23 221

2 061

10 393

607

671

752

936

1 121

1 124

1 166

1 238

1 555

1 597

No.

Appendix P6: The ten leading underlying natural causes of death by district municipality of death occurrence, Gauteng, 2014*

Statistics South Africa

126

399

299

Cerebrovascular diseases (I60-I69)

Intestinal infectious diseases (A00-A09)

Diabetes mellitus (E10-E14)

Other viral diseases (B25-B34)

Other forms of heart disease (I30-I52)

Influenza and pneumonia (J09-J18)

Hypertensive diseases (I10-I15)

Certain disorders involving the immune mechanism (D80D89)

3

4

5

6

7

8

9

10

1 240

*Excluding cases with unspecified district municipality.

13 487

Non-natural causes

All causes

5 263

Other natural causes

508

536

594

604

606

779

1 008

Human immunodeficiency virus [HIV] disease (B20-B24)

2

1 651

Tuberculosis (A15-A19)**

No.

1

Ehlanzeni

10

9

8

7

6

5

4

3

2

1

All causes

Non-natural causes

Other natural causes

Certain disorders involving the immune mechanism (D80-D89)

Other forms of heart disease (I30-I52)

Hypertensive diseases (I10-I15)

Cerebrovascular diseases (I60-I69)

Diabetes mellitus (E10-E14)

Intestinal infectious diseases (A00-A09)

Other viral diseases (B25-B34)

Influenza and pneumonia (J09-J18)

Human immunodeficiency virus [HIV] disease (B20-B24)

Tuberculosis (A15-A19)**

Gert Sibande

**Including deaths due to MDR-TB and XDR-TB.

100,0

9,2

39,0

2,2

3,0

3,8

4,0

4,4

4,5

4,5

5,8

7,5

12,2

%

100,0

10,5

35,9

3,9

4,2

4,4

4,4

4,8

5,2

5,6

6,0

6,4

8,8

%

10

9

8

7

6

5

4

3

2

1

All causes

Non-natural causes

Other natural causes

Other acute lower respiratory infections (J20-J22)

Intestinal infectious diseases (A00-A09)

10 319

1 225

3 789

337

343

391

446

Human immunodeficiency virus [HIV] disease (B20B24) Other viral diseases (B25-B34)

468

526

535

647

774

838

No.

Other forms of heart disease (I30-I52)

Diabetes mellitus (E10-E14)

Cerebrovascular diseases (I60-I69)

Hypertensive diseases (I10-I15)

Influenza and pneumonia (J09-J18)

Tuberculosis (A15-A19)**

Nkangala

11,9

36,7

3,3

3,3

3,8

4,3

4,5

5,1

5,2

6,3

7,5

8,1

%

100,0

P0309.3

Mortality and causes of death in South Africa, 2014: Findings from death notification

9 759

1 022

3 499

379

414

427

434

464

507

542

586

623

862

No.

Appendix P7: The ten leading underlying natural causes of death by district municipality of death occurrence, Mpumalanga, 2014*

Statistics South Africa

127

Cerebrovascular diseases (I60-I69)

Other forms of heart disease (I30-I52)

Other viral diseases (B25-B34)

Chronic lower respiratory diseases (J40-J47)

6

7

8

9

10

236

349

465

578

643

656

224

189

Influenza and pneumonia (J09-J18)

Renal failure (N17-N19)

Other forms of heart disease (I30-I52)

Certain disorders involving the immune mechanism (D80D89)

Hypertensive diseases (I10-I15)

6

7

8

9

10

*Excluding cases with unspecified district municipality.

9 261

769

Non-natural causes

All causes

5 211

Other natural causes

182

231

314

334

367

Cerebrovascular diseases (I60-I69)

371

Other viral diseases (B25-B34)

3

475

594

5

Intestinal infectious diseases (A00-A09)

2

No.

12 277

4

Tuberculosis (A15-A19)**

Diabetes mellitus (E10-E14)

1

All causes

Vhembe

Intestinal infectious diseases (A00-A09)

5

658

5 037

Hypertensive diseases (I10-I15)

4

799

1 030

Human immunodeficiency virus [HIV] disease (B20-B24)

3

815

1 011

Non-natural causes

Diabetes mellitus (E10-E14)

2

No.

Other natural causes

Influenza and pneumonia (J09-J18)

Tuberculosis (A15-A19)**

1

Capricorn

10

9

8

7

6

5

4

3

2

1

10

9

8

7

6

5

4

3

2

1

Waterberg

All causes

Non-natural causes

Other natural causes

Chronic lower respiratory diseases (J40-J47)

Human immunodeficiency virus [HIV] disease (B20-B24)

Other viral diseases (B25-B34)

Cerebrovascular diseases (I60-I69)

Hypertensive diseases (I10-I15)

Diabetes mellitus (E10-E14)

Intestinal infectious diseases (A00-A09)

Other forms of heart disease (I30-I52)

Influenza and pneumonia (J09-J18)

Tuberculosis (A15-A19)**

All causes

Non-natural causes

Other natural causes

Chronic lower respiratory diseases (J40-J47)

Other bacterial diseases (A30-A49)

Other forms of heart disease (I30-I52)

Hypertensive diseases (I10-I15)

Diabetes mellitus (E10-E14)

Cerebrovascular diseases (I60-I69)

Tuberculosis (A15-A19)**

Other viral diseases (B25-B34)

Intestinal infectious diseases (A00-A09)

Influenza and pneumonia (J09-J18)

Greater Sekhukhune

**Including deaths due to MDR-TB and XDR-TB.

100,0

8,3

56,3

2,0

2,0

2,4

2,5

3,4

3,6

4,0

4,0

5,1

6,4

%

100,0

8,4

41,0

1,9

2,8

3,8

4,7

5,2

5,3

5,4

6,5

6,6

8,2

%

100,0

9,6

36,2

2,4

3,4

3,9

4,4

4,7

5,6

5,6

6,3

7,1

10,7

%

100,0

7,7

30,1

2,4

3,0

4,7

5,1

5,4

6,4

6,7

7,2

8,1

13,1

%

10

9

8

7

6

5

4

3

2

1

All causes

Non-natural causes

Other natural causes

Hypertensive diseases (I10-I15)

Other viral diseases (B25-B34)

Cerebrovascular diseases (I60-I69)

Other forms of heart disease (I30-I52)

9 190

641

3 723

315

337

355

393

423

458

Inflammatory diseases of the central nervous system (G00-G09) Renal failure (N17-N19)

508

508

718

811

No.

Diabetes mellitus (E10-E14)

Intestinal infectious diseases (A00-A09)

Influenza and pneumonia (J09-J18)

Tuberculosis (A15-A19)**

Mopani

P0309.3

Mortality and causes of death in South Africa, 2014: Findings from death notification

5 132

491

1 857

124

177

202

228

241

287

287

324

365

549

No.

9 244

715

2 781

220

280

430

475

500

591

621

670

753

1 208

No.

Appendix P8: The ten leading underlying natural causes of death by district municipality of death occurrence, Limpopo, 2014*

Statistics South Africa

100,0

7,0

40,5

3,4

3,7

3,9

4,3

4,6

5,0

5,5

5,5

7,8

8,8

%

128

Statistics South Africa

P0309.3

Appendix Q: Population group differences The ten leading underlying causes of death by population group for 2014 are shown in Appendix Q1 (see page 127). Five of the ten leading causes were common for the four population groups, namely cerebrovascular diseases, diabetes mellitus, other forms of heart disease, hypertensive diseases, and chronic lower respiratory diseases, even though their rankings were not the same across all population groups. Tuberculosis was the leading cause of death in 2014 among the black African population, accounting for 10,1% deaths in this population group, whilst for the white population group, the leading cause of death was ischaemic heart diseases responsible for 11,0% deaths in this population group. Among the Indian and coloured population groups, diabetes mellitus was the leading cause of death, accounting for 14,8% and 7,3% deaths in these population groups respectively. Malignant neoplasms of digestive organs and malignant neoplasms of respiratory and intrathoracic organs were part of the ten leading causes of death for all the population groups except for the black African population group. Likewise, the black African population group was the only population group that had intestinal infectious diseases and other viral diseases as part of its ten leading causes of death. The second leading cause of death for the black African population was HIV disease (6,0%), whilst for white population group, other forms of heart disease (6,9%) was the second leading cause. For the Indian population, the second leading cause of death was ischaemic heart diseases, accounting for 12,9% deaths, whilst tuberculosis was the second leading cause of death amongst the coloured population (6,9%). The coloured population had a higher proportion of deaths due to non-natural causes compared to other population groups at (12,1%) and white population group had lowest (8,7). According to the global burden of disease, black Africans had five communicable diseases on the ten leading underlying causes of death. For both white and Indian/Asian population groups, nine of the ten leading underlying causes of death were non-communicable diseases while eight of the ten leading underlying causes of death amongst the coloured population group were non-communicable diseases.

Mortality and causes of death in South Africa, 2014: Findings from death notification

129

… …

4 5 6 7 8 9 10 … … … …

Cerebrovascular diseases (I60-I69)

Diabetes mellitus (E10-E14)

Other forms of heart disease (I30-I52)

Hypertensive diseases (I10-I15)

Other viral diseases (B25-B34)

Intestinal infectious diseases (A00-A09)

Chronic lower respiratory diseases (J40-J47)

Ischaemic heart diseases (I20-I25)

Malignant neoplasms of digestive organs (C15-C26) Malignant neoplasms of respiratory and intrathoracic organs (C30C39)

Renal failure (N17-N19)

19 150

*Including deaths due to MDR-TB and XDR-TB

319 587

35 028

Non natural causes

All causes

122 616

Other natural causes





6 323

12 518

12 737

13 607

15 353

15 882

16 551

17 417

2 3

Influenza and pneumonia (J09-J18)

32 405

No.

Black African

Human immunodeficiency virus [HIV] disease (B20-B24)

1

Rank

Tuberculosis (A15-A19)

Causes of death (based on ICD-10)

100,0

11,0

38,4









2,0

3,9

4,0

4,3

4,8

5,0

5,2

5,4

6,0

10,1

%

10

8

5

1

4





9

2

6

3

7





Rank

38 442

3 357

15 143

863

1 268

2 108

4 234

2 150





1 077

2 655

1 684

2 281

1 622





No.

White

100,0

8,7

39,4

2,2

3,3

5,5

11,0

5,6





2,8

6,9

4,4

5,9

4,2





%

8

10

6

2

5





7

3

1

4

9





Rank

100,0

11,0

31,8

3,0

2,0

3,4

12,9

3,7





3,2

6,4

14,8

5,7

2,1





%



6

9

5

3





8

10

1

4



7

2

Rank

31 018

3 746

11 354



1345,0

1147,0

1509,0

1 993





1 319

996

2 273

1 864



1 324

2 148

No.

Colored

100,0

12,1

36,6



4,3

3,7

4,9

6,4





4,3

3,2

7,3

6,0



4,3

6,9

%







10

7

9



6

5

4

3

2

8

1

Rank

58 072

4 942

35 377







1096

1 398

1 229



1 568

1 936

1 984

2 039

2 095

1 372

3 036

No.

100,0

8,5

60,9







1,9

2,4

2,1



2,7

3,3

3,4

3,5

3,6

2,4

5,2

%

Other/Unknown/Unspecified

P0309.3

Mortality and causes of death in South Africa, 2014: Findings from death notification

6 241

688

1 983

187

124

213

805

232





199

399

924

353

134





No.

Indian or Asian

Appendix Q1: The ten leading underlying natural causes of death by population group, 2014

Statistics South Africa